Individual provider Active NPI

Dina Nevo, PSY.D. LCSW BCD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1073682985
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3600 Conshohocken Ave
S C-6
Philadelphia, PA 19131-5363
Phone
(215) 877-3024
Fax
(215) 877-7486
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Clinical Social Worker 1041C0700X CWO13995 PA
Marriage & Family Therapist 106H00000X PA

Addresses

Primary practice location

3600 Conshohocken Ave
S C-6
Philadelphia, PA 19131-5363

Mailing address

3600 Conshohocken Ave
S C-6
Philadelphia, PA 19131-5363
Phone (215) 877-3024

Other identifiers 3

IdentifierTypeStateIssuer
001659328 0004MedicaidPA
126655OtherPAVALUE OPTION A871444
1663278OtherPAPERSONAL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000128 PA Practitioner - Clinical Social Worker 1658397609 Practice locations: Narbeth, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Penn Valley, PA 19072
Phone (267) 205-0849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CWO13995PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Childrens Serv Clinical PastSince May 10, 2023 Accepting new patients

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073682985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CONSHOHOCKEN AVE",
            "address_2": "S C-6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315363",
            "telephone_number": "215-877-3024",
            "fax_number": "215-877-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CONSHOHOCKEN AVE",
            "address_2": "S C-6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315363",
            "telephone_number": "215-877-3024",
            "fax_number": "215-877-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVO",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.  LCSW  BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO13995",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001659328 0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION  A871444",
            "identifier": "126655",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "1663278",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.