Individual provider Active NPI

Danielle Emily Psillos, PSYD

  • Clinical Child & Adolescent Psychologist
  • Bala Cynwyd, PA
National Provider Identifier
1962370411
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PS020624 Issued in PA
Practice address
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone
(818) 446-2522
NPI assigned
Oct 27, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PS020624 PA Primary

Addresses

Primary practice location

150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725

Mailing address

422 W Jefferson St Apt a
Media, PA 19063-2658
Phone (610) 564-5133

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
I20251122001716 PA Practitioner - Clinical Psychologist 7719479179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (818) 446-2522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS020624PAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Center for Behavioral Medicine, a Psychological Corporation CurrentSince Nov 11, 2025 Accepting new patients
Rowan Center for Behavioral Medicine, a Psychological Corporation CurrentSince Nov 11, 2025 Accepting new patients

Locations

500 E Olive Ave
Ste 540
Burbank, CA 91501
Phone (818) 446-2238

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1962370411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W JEFFERSON ST APT A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632658",
            "telephone_number": "610-564-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 207",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725",
            "telephone_number": "818-446-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSILLOS",
        "first_name": "DANIELLE",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS020624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.