Individual provider Active NPI

Gabrielle Victoria Marie Lewine, PHD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1972108173
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
94025664 Issued in CA
Practice address
3720 Spruce St Ste 409
Philadelphia, PA 19104-4115
Phone
(844) 287-4228
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 94025664 CA Primary
Psychologist 103T00000X PS02128 RI

Addresses

Primary practice location

3720 Spruce St Ste 409
Philadelphia, PA 19104-4115

Mailing address

1315 Walnut St Ste 801
Philadelphia, PA 19107-4708
Phone (203) 984-8673

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
94025664CAMDPsychologist
PS02128RIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cognitive Behavioral Therapy and Mindfulness Psychologist CurrentSince Oct 12, 2025 Accepting new patients

Locations

3720 Spruce St
Ste 409
Philadelphia, PA 19104
Phone (844) 287-4228

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1972108173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST STE 801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074708",
            "telephone_number": "203-984-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST STE 409",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "844-287-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWINE",
        "first_name": "GABRIELLE",
        "middle_name": "VICTORIA MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "94025664",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS02128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.