1. Home
  2. Directory
  3. New Jersey
  4. Cherry Hill
  5. Psychologist
  6. NPI Profile

DR. BETSY FERNBACH LLC
NPI 1922476811
Psychologist - Clinical in Cherry Hill, NJ

Active since September 09, 2015
1101 KINGS HWY N, SUITE 202, CHERRY HILL, NJ 08034(609) 238-1751 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Betsy Fernbach Llc NPPES

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

DR. BETSY FERNBACH LLC (NPI 1922476811) is a healthcare organization registered as a clinical in Cherry Hill, New Jersey and active in the NPI registry since September 2015. The organization lists Betsy Fernbach, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1922476811
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR. BETSY FERNBACH LLC
Location Address1101 KINGS HWY N, SUITE 202Cherry Hill, NJ 08034-1912
Mailing Address1101 Kings Hwy N, Suite 202Cherry Hill, NJ 08034-1912 · (609) 238-1751
Phone(609) 238-1751
Organization SubpartNo
Authorized OfficialBetsy FernbachLicensed Psychologist · (609) 238-1751
Enumeration DateSeptember 9, 2015
✔ NPI 1922476811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 35SI00225700
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1101 KINGS HWY N, Cherry Hill, NJ 08034
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN125307NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Betsy Fernbach Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Betsy Fernbach LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Betsy Fernbach, PSY.D.
Clinical Psychologist
NPI 1144385824
1155 ROUTE 73 RAMBLEWOOD CENTER, SUITE 18
Mount Laurel, NJ 08054
(856) 273-0789
✔ PECOS✔ Accepts Medicare5.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Betsy Fernbach LLC's NPI number?

The NPI number for Dr. Betsy Fernbach LLC is 1922476811. It was assigned to this organization in the NPPES registry on September 9, 2015.

Where is Dr. Betsy Fernbach LLC located?

Dr. Betsy Fernbach LLC is located at 1101 Kings Hwy N Suite 202, Cherry Hill, NJ 08034. The listed phone number is (609) 238-1751.

What is Dr. Betsy Fernbach LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dr. Betsy Fernbach LLC enrolled in Medicare?

Yes. Dr. Betsy Fernbach LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Betsy Fernbach LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr. Betsy Fernbach LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Betsy Fernbach LLC was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.