GINA MARIE DATTILO PSYD
NPI 1497902829
Psychologist in Elverson, PA

Active since August 27, 2008PECOS EnrolledAccepts Medicare Assignment
293 HOPEWELL RD, ELVERSON, PA 19520(540) 209-4717 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gina Marie Dattilo Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA MARIE DATTILO PSYD (NPI 1497902829) is an individual psychologist in Elverson, Pennsylvania, licensed in Pennsylvania (PS017764) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497902829
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameGINA MARIE DATTILOCredential: PSYD
Location Address293 HOPEWELL RDElverson, PA 19520
Mailing Address293 Hopewell RdElverson, PA 19520-8804 · (540) 209-4717
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 27, 2008
Last NPPES UpdateAugust 28, 2018
✔ NPI 1497902829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in PA · PS017764
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
293 HOPEWELL RD, Elverson, PA 19520

Other Identifiers 1

OtherPS017764PA · Commonwelath Of Pennsylvania Department Of State Bureau Of Professional And Occu

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina Marie Dattilo Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355401530
PECOS Enrollment IDI20220301001099
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gina Dattilo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling
156 S BETHLEHEM PIKE
Ambler, PA 19002
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Connecticut PC
  • 89 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
166 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Dattilo's NPI number?

The NPI number for Gina Dattilo is 1497902829. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Gina Dattilo located?

Gina Dattilo practices at 293 Hopewell Rd, Elverson, PA 19520. The listed phone number is (540) 209-4717.

What is Gina Dattilo's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gina Dattilo enrolled in Medicare?

Yes. Gina Dattilo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gina Dattilo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Dattilo reassigns Medicare benefits to Optum Behavioral Care Of Connecticut, P.C. (Ambler, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gina Dattilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gina Dattilo was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.