Ruby Yedloutschnig

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00567000 Issued in NJ

Practice address

67 W Bradford Ave
Cedar Grove, NJ 07009-1803

Phone

(973) 830-1057

Fax

(973) 604-4259

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ruby Yedloutschnig, PSYD, LLC

  • Clinical Psychologist
  • Cedar Grove, NJ
  • NPI 1902742752
  NPD Authorized official
• Elite Behavioral Group, LLC

  • Medical Specialty Clinic/Center
  • West Caldwell, NJ
  • NPI 1649566902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1245574201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W BRADFORD AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091803",
            "telephone_number": "973-830-1057",
            "fax_number": "973-604-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W BRADFORD AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091803",
            "telephone_number": "973-830-1057",
            "fax_number": "973-604-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDLOUTSCHNIG",
        "first_name": "RUBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00567000",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022127-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Williams, CBD/NCS/BPC
• Annalise Wilner
• Wilson Psychological Associates LLC
• Katelyn Wilson, RD
• Wilson, P.a.
• Lynda Ann Youngworth, M.D., C.M., P.C.

• Clinical Psychologist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.