Cherie Lynn Young, PSY.D.
Individual provider Active NPI Clinical Psychologist · Mickleton, NJ
NPI 1154535995 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1154535995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5930 (NJ)
- Practice address
- 542 Kings Hwy
Mickleton, NJ 08056-1406 - Phone
- (856) 671-2291
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5930 | NJ | MD | Clinical Psychologist |
| PS015663 | PA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS015663 | PA | |
| Clinical Psychologist | 103TC0700X | 5930 | NJ | Yes |
Addresses
Primary practice location
542 Kings Hwy
Mickleton, NJ 08056-1406
Mailing address
542 Kings Hwy
Mickleton, NJ 08056-1406
Phone (856) 671-2291
Other providers in Mickleton, NJ
- Prime Gericare LLC
- Rita Reutter
- Stephen Rioux
- The Minniti Center for Medical Oncology and Hematology
- Kiera Traum
- Jeffrey Everett Zanow
All providers in Mickleton, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.