Active NPI
Daniel A. Ross, PH.D.
- Clinical Psychologist
- Williamsville, NY
National Provider Identifier
1023107307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006416-1
- Practice address
- 5820 Main St
Suite 204
Williamsville, NY 14221-5776 - Phone
- (716) 649-6145
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 006416-1 | NY | Primary |
Addresses
Primary practice location
5820 Main St
Suite 204
Williamsville, NY 14221-5776
Mailing address
72 Candy LN
Orchard Park, NY 14127-4605
Phone (716) 649-6145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006416 | NY | MD | Optometrist |
| 006416-1 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406937600000",
"number": "1023107307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CANDY LN",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141274605",
"telephone_number": "716-649-6145",
"fax_number": "716-649-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 MAIN ST",
"address_2": "SUITE 204",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215776",
"telephone_number": "716-649-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DANIEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2014-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "006416-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.