Individual provider Active NPI

Danielle Dellner

  • Clinical Psychologist
  • Cameron Park, CA
National Provider Identifier
1629436506
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26318 Issued in CA
Practice address
3250 Cambridge Rd
Cameron Park, CA 95682-9119
Phone
(310) 592-1125
NPI assigned
Feb 5, 2016
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 217175 AK
Psychologist 103T00000X PY60854345 WA
Clinical Psychologist 103TC0700X PSY26318 CA Primary
Family Psychologist 103TF0000X PSY26318 CA
Group Psychotherapy Psychologist 103TP2701X PSY26318 CA

Addresses

Primary practice location

3250 Cambridge Rd
Cameron Park, CA 95682-9119

Mailing address

3250 Cambridge Rd
Cameron Park, CA 95682-9119
Phone (310) 592-1125

Other practice location 1

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6993

Other practice location 2

2211 Rimland Dr Ste 320
Bellingham, WA 98226-6014
Phone (360) 752-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230111001228 WA Practitioner - Clinical Psychologist 7618381955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217175AKMDPsychologist
PSY26318CAMDGroup Psychotherapy Psychologist
26318CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Feb 13, 2022 Accepting new patients
Traverse Psychological Services Clinical Past Accepting new patients

Locations

2211 Rimland Dr
Ste 320
Bellingham, WA 98226
Phone (360) 756-4805

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

Interoperability endpoints

  • Direct secure messaging: ddellner584376@direct.peacehealth.org

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1629436506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 CAMBRIDGE RD",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956829119",
            "telephone_number": "310-592-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 CAMBRIDGE RD",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956829119",
            "telephone_number": "310-592-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-788-6993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Rimland Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982266014",
            "country_code": "US",
            "telephone_number": "360-752-5175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLNER",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "217175",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60854345",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26318",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY26318",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY26318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

Verify at the official NPI Registry.