Individual provider Active NPI

Chelsae Roby Pistello, PSY.D.

  • Psychologist
  • Dayton, OH
National Provider Identifier
1215338249
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5705 Oak Valley Rd
Dayton, OH 45440-2325
Phone
(314) 578-8453
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

5705 Oak Valley Rd
Dayton, OH 45440-2325

Mailing address

5705 Oak Valley Rd
Dayton, OH 45440-2325
Phone (314) 578-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240314001268 OH Practitioner - Clinical Psychologist 5092151902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cordell Associates, LLCGroup PAC ID 8325130453, 8 clinicians

Practice addresses (Care Compare)

6500 Poe Ave
Suite 400
Dayton, OH 45414-2870
Phone (937) 276-3356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1215338249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 OAK VALLEY RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454402325",
            "telephone_number": "314-578-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 OAK VALLEY RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454402325",
            "telephone_number": "314-578-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTELLO",
        "first_name": "CHELSAE",
        "middle_name": "ROBY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.