Individual provider Active NPI

Dante Dechellis, PSYD & LPC

  • Psychologist
  • Rochester, PA
National Provider Identifier
1487125027
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019491 Issued in PA
Practice address
293 Pinney St
Rochester, PA 15074-2164
Phone
(724) 774-1404
NPI assigned
Dec 7, 2018
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC010787 PA
Psychologist 103T00000X PS019491 PA Primary

Addresses

Primary practice location

293 Pinney St
Rochester, PA 15074-2164

Mailing address

293 Pinney St
Rochester, PA 15074-2164
Phone (724) 774-1404

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
I20240124000936 PA Practitioner - Clinical Psychologist 3476906660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestem Behavioral Health Group LLCGroup PAC ID 5092702415, 2 clinicians

Practice addresses (Care Compare)

293 Pinney St
Rochester, PA 15074-2164

6101 Penn Ave
Suite 402
Pittsburgh, PA 15206-3926
Phone (724) 774-1404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC010787PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestem Behavioral Health Group LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

6101 Penn Ave
Ste 402
Pittsburgh, PA 15206
Phone (724) 774-1404

293 Pinney St
Rochester, PA 15074
Phone (724) 774-1404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1487125027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 PINNEY ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742164",
            "telephone_number": "724-774-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 PINNEY ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742164",
            "telephone_number": "724-774-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHELLIS",
        "first_name": "DANTE",
        "name_prefix": "Mr.",
        "credential": "PSYD & LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC010787",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

Verify at the official NPI Registry.