DASYLIA WILLOUGHBY (DO) – Psychiatry Physician, NPI 1689299083
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
840 PSYCHIATRY in MD
Provider Addresses for DASYLIA WILLOUGHBY (DO)
8850 STANFORD BLVD STE 3300
COLUMBIA, MD 210454796
Phone:
Type: Mailing
8850 STANFORD BLVD STE 3330
COLUMBIA, MD 210454753
Phone: (443) 718-5206
Type: Location
561 Fairthorne Ave
Philadelphia, PA 191282412
Phone: (215) 487-4000
Type: Location
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 207592683
Phone: (301) 923-1484
Fax: (301) 923-1484
Type: Mailing
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 191413098
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240220001262 | I | Psychiatry | PA | TBD |
| I20241002000511 | I | Psychiatry | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Clinical Social Worker | PA | |
| - | PA | |
| Clinical Social Worker | PA | |
| - | PA | |
| - | FL | |
| Mental Health Counselor | PA | |
| - | PA | |
| - | PA | |
| Mental Health Counselor | NY |
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