Dasylia Willoughby, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H0101506 Issued in MD

Practice address

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683

Phone

(301) 923-1484

Fax

(301) 923-1484

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Lake Erie Col of Osteo Med at Seton Hill Univ, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northern Tier Counseling, Inc.Group PAC ID 7113997354, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/northerntiercounseling/r4/

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.

• Northern Tier Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towanda, PA
  • NPI 1346267374

  Psychiatry

  Medicare reassignment Care Compare group NPD
• True Radiance Psychiatry

  • Psychiatry Physician
  • Fulton, MD
  • NPI 1407664717
  NPD Authorized official
• Arman C. Moshyedi, MD, LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1437522067
  NPD
• Arman C. Moshyedi, MD, LLC

  • Psychiatry Physician
  • Kensington, MD
  • NPI 1578126306
  NPD
• Arman C. Moshyedi, MD, LLC

  • Psychiatry Physician
  • Annapolis, MD
  • NPI 1194194993
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1689299083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592683",
            "telephone_number": "301-923-1484",
            "fax_number": "301-923-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592683",
            "telephone_number": "301-923-1484",
            "fax_number": "301-923-1484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 Fairthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191282412",
            "country_code": "US",
            "telephone_number": "215-487-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "DASYLIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102209903",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "DO210012768",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "H0101506",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS023078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Marie White, RDH
• Mikayla V White
• Nadia Wiafua
• Shardretta Williams-Gutrick
• Rolonda Kierra Renee' Williams, LGMFT
• Andrea Wilson
• Zikia Wilson
• Brandi Wingate
• Madeline Wolford
• Alexander Xinlei Wu, MD

• Psychiatry Physician in Fulton, MD
• Providers in Fulton, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.