Individual provider Active NPI

Dara Robyn Deleon, PSYD

  • Psychologist
  • Asheville, NC
National Provider Identifier
1063787638
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8209 Issued in FL
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

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200807000106 FL Practitioner - Clinical Psychologist 0446675482 Reassigns benefits to 1 organization
I20201120001297 NC Practitioner - Clinical Psychologist 0446675482 Reassigns benefits to 1 organization

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 CarolinaGroup PAC ID 7416132428, shared by 9 NPIs, 172 clinicians

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 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5791NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina CurrentSince Nov 1, 2020 Accepting new patients
Lifesource of North Carolina Psychologist CurrentSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.