Ronald J Dahl, PHD
Individual provider Active NPI Clinical Psychologist · Lavale, MD
NPI 1922434455 · NPPES record last updated Aug 3, 2022
Key facts
- NPI
- 1922434455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS017397 (PA)
- Practice address
- 932 National Hwy Ste 4
Lavale, MD 21502-7380 - Phone
- (717) 808-8400
- Fax
- (717) 781-2078
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Steeple City Psychological Services LLC
Practice addresses (Care Compare)
932 National Hwy
Cumberland, MD 21502-7380
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131023000964 | PA | Practitioner - Clinical Psychologist | 0446485700 | Reassigns benefits to 1 organization |
| I20160909000519 | MD | Practitioner - Clinical Psychologist | 0446485700 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017397 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steeple City Psychological Services, LLC | Clinical | Current |
Accepting new patients |
Locations
932 National Hwy
Lavale, MD 21502
Phone (240) 362-7445
932 National Hwy
Ste 4
Lavale, MD 21502
Phone (717) 808-8400
947 Wayne Ave
Chambersburg, PA 17201
Phone (717) 808-8400
1630 Manheim Pike
Ste 4
Lancaster, PA 17601
Phone (717) 808-8400
431 N George St
#P
Millersville, PA 17551
Phone (717) 808-8400
431 N George St
Millersville, PA 17551
Phone (717) 808-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PS017397 | PA | |
| Clinical Psychologist | 103TC0700X | PS017397 | PA | Yes |
Addresses
Primary practice location
932 National Hwy Ste 4
Lavale, MD 21502-7380
Mailing address
PO Box 92
Millersville, PA 17551-0092
Phone (717) 872-0568
Other practice location 1
947 Wayne Ave # 217
Chambersburg, PA 17201-4816
Phone (717) 808-8400
Other practice location 2
431 N George St
Millersville, PA 17551-9800
Phone (717) 808-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649675992 | Other | GROUP NPI |
Other providers in Lavale, MD
- Cathy S Chapman
- Richard Hon Ching
- Lauren T Christmas
- Meghan L Clayton
- Connie Morris, CRNP, LLC
- Dankmeyer Inc.
- David a Bohn Chiropractic Services PC
- Shiann Helena Davis
- John C Dowell
- Erin M Doyle
All providers in Lavale, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.