Edgard Danielsen, L.P.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000963-1 Issued in NY

Practice address

7 W 30TH St FL 11
New York, NY 10001-4406

Phone

(347) 453-1601

NPI assigned

Feb 22, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Mind and Body Wellness Services LLC

  • Psychoanalyst
  • New York, NY
  • NPI 1902430556
  NPD Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1033578778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8389",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101168389",
            "telephone_number": "646-808-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 30TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014406",
            "telephone_number": "347-453-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSEN",
        "first_name": "EDGARD",
        "name_prefix": "Dr.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Daniels
• Rashidah Daniels
• Ryan Kenneth Daniels
• Steven Daniels
• Victoria Daniels, LCSW
• Jennifer Danielsson
• Ashley Danies, PHD
• Jacqueline Suk Danik, M.D., DRPH
• Daniel C Danila, M.D.
• Tamir Danilov, DPM

• Psychoanalyst in New York, NY
• Providers in New York, NY by specialty
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.