Active NPI
Danielle M Ross, PHD
- Clinical Psychologist
- Moosic, PA
National Provider Identifier
1801617352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS020283
- Practice address
- 4101 Birney Ave
Moosic, PA 18507-1323 - Phone
- (570) 961-3361
- Fax
- (570) 961-3364
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Psychologist | 103TC0700X | PS020283 | PA | Primary |
Addresses
Primary practice location
4101 Birney Ave
Moosic, PA 18507-1323
Mailing address
101 Gibson St
Jermyn, PA 18433-1305
Phone (570) 335-7350
Other names 1
- Danielle Ross Pietralczyk
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209001966 | PA | Practitioner - Clinical Psychologist | 4486180841 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- John G Kuna Psy D and Associates LLC
Practice addresses (Care Compare)
4101 Birney Ave
Moosic, PA 18507-1323
Phone (570) 961-3361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS020283 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John G Kuna Psy D & Associates LLC | Clinical | Current | Accepting new patients |
Locations
1011 Pennsylvania Ave
Matamoras, PA 18336
Phone (570) 491-4728
4101 Birney Ave
Moosic, PA 18507
Phone (507) 961-3361
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": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1801617352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GIBSON ST",
"city": "JERMYN",
"state": "PA",
"postal_code": "184331305",
"telephone_number": "570-335-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 BIRNEY AVE",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071323",
"telephone_number": "570-961-3361",
"fax_number": "570-961-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DANIELLE",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS020283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "PIETRALCZYK",
"middle_name": "ROSS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moosic, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.