Active NPI
Gabrielle Roberts-Young, PSYD
- Psychologist
- Cherry Hill, NJ
National Provider Identifier
1134898307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1930 Route 70 E Ste R91
Cherry Hill, NJ 08003-4207 - Phone
- (856) 220-9672
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1930 Route 70 E Ste R91
Cherry Hill, NJ 08003-4207
Mailing address
1930 Route 70 E Ste R91
Cherry Hill, NJ 08003-4207
Phone (856) 220-9672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 7, 2025 through Aug 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Emotional Health of Greater Philadelphia, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Cherry Hill, NJ
- NPI 1679807531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1134898307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 ROUTE 70 E STE R91",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034207",
"telephone_number": "856-220-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 ROUTE 70 E STE R91",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034207",
"telephone_number": "856-220-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS-YOUNG",
"first_name": "GABRIELLE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.