PETER DALLAS PH.D.
NPI 1609812817
Psychologist - Clinical in Troy, NY
About Peter Dallas Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER DALLAS PH.D. (NPI 1609812817) is an individual clinical provider in Troy, New York, licensed in New York (008894-1) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Peter Dallas Ph.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Dallas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albany, NY 12203
- Reassigned Medicare billing, New York enrollment
- 10 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peter Dallas's NPI number?
The NPI number for Peter Dallas is 1609812817. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Peter Dallas located?
Peter Dallas practices at 49 Marvin Ave, Troy, NY 12180. The listed phone number is (518) 273-6646.
What is Peter Dallas's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Peter Dallas enrolled in Medicare?
Yes. Peter Dallas 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 Peter Dallas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Dallas reassigns Medicare benefits to Roman Catholic Diocese Of Albany Ny (Albany, NY). 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 Peter Dallas'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 Peter Dallas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Peter Dallas, PH.D. · NPI 1609812817
Clinical provider in Troy, New York. Individual provider, active in the CMS NPPES registry since June 22, 2006.
## Identity
- **NPI:** 1609812817 (Entity type: Individual)
- **Enumerated:** June 22, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 008894-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 49 MARVIN AVE, Troy, NY 12180-6425
- **Phone:** (518) 273-6646
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Roman Catholic Diocese Of Albany Ny (NPI 1457421919, Albany, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified BB9743 (NY); Medicaid 01698342 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1609812817) · Data from the CMS NPPES public registry.