Individual provider Active NPI

Daniel Bross, PSYD

  • Clinical Neuropsychologist
  • Lower Gwynedd, PA
National Provider Identifier
1831922814
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS020233 Issued in PA
Practice address
1018 N Bethlehem Pike Ste A1
Lower Gwynedd, PA 19002-2109
Phone
(215) 233-5688
NPI assigned
Aug 23, 2024
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS020233 PA Primary

Addresses

Primary practice location

1018 N Bethlehem Pike Ste A1
Lower Gwynedd, PA 19002-2109

Mailing address

311 Jefferson St Apt a
Plymouth Meeting, PA 19462-2619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221002499 PA Practitioner - Psychologist Billing Independently 7113447004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Penn Neuropsychological ServicesGroup PAC ID 3971904764, 3 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

1012 N Bethlehem Pike
Suite 103
Lower Gwynedd, PA 19002-2100
Phone (215) 233-5688

1012 N Bethlehem Pike
Suite 103
Lower Gwynedd, PA 19002-2186

1018 N Bethlehem Pike
Suite a 1
Lower Gwynedd, PA 19002-2186

414 Paoli Pike
Malvern, PA 19355-3311
Phone (484) 596-5430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS020233PAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Mar 30, 2026 Accepting new patients
North Penn Neuropsychological Services Clinical Neuropsychologist CurrentSince Jan 1, 2025 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1020 Baltimore Pike
Ste 210
Glen Mills, PA 19342
Phone (484) 227-7777

1018 N Bethlehem Pike
Ste A1
Lower Gwynedd, PA 19002
Phone (215) 233-5688

414 Paoli Pike
Malvern, PA 19355
Phone (484) 596-5254

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1831922814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JEFFERSON ST APT A",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N BETHLEHEM PIKE STE A1",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022109",
            "telephone_number": "215-233-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS020233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Gwynedd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.