Danielle Maack, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

51895 Issued in MS

Practice address

101 Ricky D Britt Sr Blvd Ste 1B
Oxford, MS 38655-9111

Phone

(662) 259-0868

NPI assigned

Sep 27, 2011

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delta Autumn Consulting, LLCGroup PAC ID 0042480410, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Delta Autumn Consulting, LLC

  • Clinical Psychologist
  • Oxford, MS
  • NPI 1811288533
  Medicare reassignment Care Compare group NPD
• Nursing Home Psychological Services, LLC

  • Psychologist
  • Poplarville, MS
  • NPI 1295952992
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1033492913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 W OXFORD LOOP",
            "address_2": "STE 115",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555724",
            "telephone_number": "662-259-0868",
            "fax_number": "662-380-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICKY D BRITT SR BLVD STE 1B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559111",
            "telephone_number": "662-259-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAACK",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "51895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Anthony Luna
• Marion Shaun Lund, DPM
• Lyndsay R Shipp MD PLLC
• Melissa Cornelius Lyons, LMSW
• M&S Medical
• Kaitlyn Rose Maccharles
• Deanna Mackie, CFNP
• Melody Madaris, MRC, CRC
• Jerry M Madden, M.ED. LPC
• Michael Jeffery Magee II, MD

• Clinical Psychologist in Oxford, MS
• Providers in Oxford, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.

Verify at the official NPI Registry.