Active NPI
Dara Robyn Deleon, PSYD
- Psychologist
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY8209
- Practice address
- 128 White Ash Dr East
Asheville, NC 28803-5003 - Phone
- (954) 296-5692
- NPI assigned
- Mar 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8209 | FL | Primary |
Addresses
Primary practice location
128 White Ash Dr East
Asheville, NC 28803-5003
Mailing address
128 White Ash Dr East
Asheville, NC 28803-5003
Phone (954) 296-5692
Other practice location 1
3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243
Other practice location 2
2525 Embassy Dr Ste 10
Hollywood, FL 33026-4573
Phone (954) 296-5692
Other names 1
- Mrs. Dara Robyn Bushman-Deleon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lifesource of North Carolina
Practice addresses (Care Compare)
3205 Randall Pkwy
Suite 105
Wilmington, NC 28403-2565
Phone (910) 742-9243
5530 Northop Rd
Milton, FL 32570-8701
Phone (910) 742-9243
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5791 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Current | Accepting new patients | |
| Lifesource of North Carolina | Psychologist | Current | Accepting new patients |
Locations
5530 Northrop Rd
Milton, FL 32570
Phone (850) 384-8969
3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1811286156
-
- Psychologist
- Milton, FL
- NPI 1730648288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1063787638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 WHITE ASH DR EAST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288035003",
"telephone_number": "954-296-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 WHITE ASH DR EAST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288035003",
"telephone_number": "954-296-5692"
}
],
"practiceLocations": [
{
"address_1": "3205 Randall Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284032565",
"country_code": "US",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 Embassy Dr Ste 10",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330264573",
"country_code": "US",
"telephone_number": "954-296-5692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELEON",
"first_name": "DARA",
"middle_name": "ROBYN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DARA",
"last_name": "BUSHMAN-DELEON",
"middle_name": "ROBYN",
"prefix": "MRS.",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.