Active NPI
Paul Lee Daniels, PSYD
- Clinical Psychologist
- Fort Scott, KS
National Provider Identifier
1033279237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 054
- Practice address
- 710 W 8TH
Fort Scott, KS 66701 - Phone
- (620) 223-8590
- Fax
- (620) 223-8592
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 054 | KS | Primary |
| Clinical Psychologist | 103TC0700X | 471 | KS |
Addresses
Primary practice location
710 W 8TH
Fort Scott, KS 66701
Mailing address
710 W 8TH
Fort Scott, KS 66701
Phone (620) 223-8590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003028601A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111128000146 | KS | Practitioner - Clinical Psychologist | 2668646803 | Practice locations: Fort Scott, KS; Pleasanton, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
710 W 8TH St
201 Choices Psychological Services
Fort Scott, KS 66701-2404
Phone (620) 223-8590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 192 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 471 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Plus, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Scott, KS
- NPI 1073680450
-
- Specialist
- Saint Louis, MO
- NPI 1841657053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033279237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W 8TH",
"city": "FORT SCOTT",
"state": "KS",
"postal_code": "66701",
"telephone_number": "620-223-8590",
"fax_number": "620-223-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W 8TH",
"city": "FORT SCOTT",
"state": "KS",
"postal_code": "66701",
"telephone_number": "620-223-8590",
"fax_number": "620-223-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "PAUL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "054",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "471",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003028601A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Scott, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.