DR. JULIO VIDAL (PSYD) – Clinical Psychologist, NPI 1285199331

DR. JULIO VIDAL (PSYD) is a healthcare provider. based in Chester, Pennsylvania. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. PS018737 (PA). The NPI Number for DR. JULIO VIDAL (PSYD) is 1285199331

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JULIO VIDAL (PSYD)
NPI
1285199331
Phone
(610) 872-9101
Address
2201 PROVIDENCE AVE
Enumeration Date
4 February 2019
Last Update Date
4 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108729101
Graduation Year
2016 (10 years ago)
PAC ID
0446684880
Group Practice PAC ID
2264345933
Professional Enrollment ID
I20191218001383
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JULIO VIDAL (PSYD)

  • 2201, Providence Avenue, Chester, Delaware County, Pennsylvania, 19013, United States

    CHESTER, PA 190135218

    Phone: (610) 872-9101

    Mailing address matches the actual address.

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: 2019-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191218001383IClinical PsychologistPATBD

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.

Verify on CMS Revalidation Lookup Tool

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 19013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264345933View full group profile
NameSpecialtyState
Physician AssistantPA
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Clinical PsychologistPA
Clinical PsychologistPA
Internal MedicinePA
Clinical PsychologistPA

Reviews

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Frequently asked questions

Is DR. JULIO VIDAL (PSYD) listed with a National Provider Identifier?
Yes — DR. JULIO VIDAL (PSYD) has NPI 1285199331 on file in the registry.
Is DR. JULIO VIDAL (PSYD) shown as active in public data?
Registry records indicate DR. JULIO VIDAL (PSYD) maintains an active NPI.
What clinical focus is listed for DR. JULIO VIDAL (PSYD)?
At a glance, DR. JULIO VIDAL (PSYD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. JULIO VIDAL (PSYD) associated with Chester?
Public fields place DR. JULIO VIDAL (PSYD) around Chester, Pennsylvania. Always confirm the exact site before visiting.
Does DR. JULIO VIDAL (PSYD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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