Individual provider Active NPI

Dalice A Hess, PSY.D

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1669198602
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019797 Issued in PA
Practice address
5000 W Tilghman St
Allentown, PA 18104-9109
Phone
(610) 569-0252
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019797 PA Primary

Addresses

Primary practice location

5000 W Tilghman St
Allentown, PA 18104-9109

Mailing address

230 Stephen St
Emmaus, PA 18049-2530
Phone (570) 764-7126

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
I20230301001709 PA Practitioner - Clinical Psychologist 2264805845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West End Counseling and Wellness, LLCGroup PAC ID 2365794500, 10 clinicians

Practice addresses (Care Compare)

5000 W Tilghman St
Suite 370
Allentown, PA 18104-9176
Phone (610) 569-0252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019797PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West End Counseling & Wellness, LLC Clinical CurrentSince Jan 26, 2023 Accepting new patients

Locations

5000 W Tilghman St
Ste 370
Allentown, PA 18104
Phone (610) 569-0252

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1669198602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 STEPHEN ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492530",
            "telephone_number": "570-764-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W TILGHMAN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049109",
            "telephone_number": "610-569-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "DALICE",
        "middle_name": "A",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.