GWENDOLYN EARLE ROBERSON MD, MA
NPI 1558504191
Psychiatry & Neurology - Psychiatry in Mount Laurel, NJ

Q: What is Gwendolyn Roberson's NPI number?

The NPI number for Gwendolyn Roberson is 1558504191. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Q: What is Gwendolyn Roberson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment

1120 ROUTE 73 STE 300, MOUNT LAUREL, NJ 08054(856) 930-4097 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2024, Feb 6, 2023, Mar 15, 2021 and 1 more (4 updates tracked since 2016).

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About Gwendolyn Earle Roberson Md, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN EARLE ROBERSON MD, MA (NPI 1558504191) is an individual psychiatry provider in Mount Laurel, New Jersey, licensed in Utah (7770041-1205) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1558504191

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameGWENDOLYN EARLE ROBERSONCredential: MD, MA

Location Address1120 ROUTE 73 STE 300Mount Laurel, NJ 08054-5113

Mailing Address82 S 1100 E, 404Salt Lake City, UT 84102-1686

Phone(856) 930-4097

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateApril 13, 2009

Last NPPES UpdateJuly 5, 20244 updates tracked since enumeration

NPPES CertifiedJuly 5, 2024

✔ NPI 1558504191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in UT · 7770041-1205✔ Licensed in AZ · 74047✔ Licensed in MN · 70664

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychologistTaxonomy 103T00000X · License 7770041-1205 (UT)

1120 ROUTE 73 STE 300, Mount Laurel, NJ 08054

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Secondary Practice Locations 4

Location 12000 Health Park DrBrentwood, TN 37027-4692 · Phone (615) 373-7600

Location 282 S 1100 E, 404Salt Lake City, UT 84102-1686 · Phone (801) 350-4777

Location 32450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 672-1163

Location 47201 E 31st PlYuma, AZ 85365-8394 · Phone (928) 336-5660

Other Identifiers 1

Medicaid1558504191UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gwendolyn Earle Roberson Md, Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880901198

PECOS Enrollment IDI20240814000450

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$185.05 typical visit price

range $61.59 – $185.05

Typical copayment $46.26 (range $15.39 – $46.26)

Most-billed visit code 99205

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELA ANN LAURICELLA LCSW

Social Worker (Clinical)