Individual provider Active NPI

Danielle M Ross, PHD

  • Clinical Psychologist
  • Moosic, PA
National Provider Identifier
1801617352
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS020283 Issued in PA
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

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
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 24 clinicians

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

LicenseStateTypeSpecialty
PS020283PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
John G Kuna Psy D & Associates LLC Clinical CurrentSince Nov 9, 2024 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

Verify at the official NPI Registry.