Individual provider Active NPI

Yamilet Santiago Davila, PSYD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1427935378
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020409 Issued in PA
Practice address
8705 Germantown Ave
Philadelphia, PA 19118-2720
Phone
(215) 247-5400
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 PS020409 PA Primary

Addresses

Primary practice location

8705 Germantown Ave
Philadelphia, PA 19118-2720

Mailing address

25 W Hortter St Apt 216
Philadelphia, PA 19119-2732
Phone (267) 814-8660

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
I20250930002283 PA Practitioner - Clinical Psychologist 7911403886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evergreen Counseling and Psychological Associates LLCGroup PAC ID 3577780782, 8 clinicians

Practice addresses (Care Compare)

8705 Germantown Ave
Suite 3
Philadelphia, PA 19118-2720
Phone (215) 247-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS020409PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling and Psychological Associates LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

8705 Germantown Ave
Ste 3
Philadelphia, PA 19118
Phone (215) 247-5400

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1427935378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W HORTTER ST APT 216",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192732",
            "telephone_number": "267-814-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182720",
            "telephone_number": "215-247-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO DAVILA",
        "first_name": "YAMILET",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.