Individual provider Active NPI

Dawn Marie Raffa-Yoo, PH.D

  • Clinical Psychologist
  • Pennington, NJ
National Provider Identifier
1780749887
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00488900 Issued in NJ
Practice address
23 Route 31 North
Pennington, NJ 08534
Phone
(609) 613-0110
Fax
(866) 309-4180
NPI assigned
Dec 27, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00488900 NJ Primary
Clinical Social Worker 1041C0700X 44SC05183700 NJ

Addresses

Primary practice location

23 Route 31 North
Pennington, NJ 08534

Mailing address

21 Hamilton Rd
Marlton, NJ 08053-1134
Phone (609) 558-3690

Other identifiers 1

IdentifierTypeStateIssuer
P2751686OtherOXFORD

Other names 1

  • Dawn Marie Raffa Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44SC05183700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Raffa PHD CurrentSince Jan 1, 1990 Accepting new patients
Inner Balance Psychology Center, LLC Clinical CurrentSince May 24, 2014 Accepting new patients
John M Charuk PHD PA Clinical Past Accepting new patients

Locations

2 Tree Farm Rd
Ste A220
Pennington, NJ 08534
Phone (609) 613-0110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1780749887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HAMILTON RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531134",
            "telephone_number": "609-558-3690",
            "fax_number": "866-309-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROUTE 31 NORTH",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-613-0110",
            "fax_number": "866-309-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFA-YOO",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00488900",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05183700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2751686",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "RAFFA",
            "middle_name": "MARIE",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.