Frank M Dattilio, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006758L Issued in PA

Practice address

1251 S Cedar Crest Blvd
Suite 304 D
Allentown, PA 18103-6205

Phone

(610) 434-6960

Fax

(610) 434-6965

NPI assigned

Apr 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2008 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1710150826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 304 D",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-434-6960",
            "fax_number": "610-434-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 304 D",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-434-6960",
            "fax_number": "610-434-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTILIO",
        "first_name": "FRANK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006758L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Dapuzzo-Argiriou, MD
• Beverly Nicole Daringer
• Emily Kate Darr, DPM
• Dashboard Institute
• Jenni Dasilva
• John Daughtrey, LSW
• Jocelyn E Davco, MA, LPC
• Caty E Davenport, MD
• Melinda N Davenport, LPC
• David a Gordon MDPC

• Clinical Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.