Individual provider Active NPI

Daniel Singelyn, PSYD

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1043767197
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38873 Issued in TX
Practice address
508 Deep Eddy Ave
Austin, TX 78703-4555
Phone
(512) 956-6463
NPI assigned
Sep 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Counseling Psychologist 103TC1900X
Health Service Psychologist 103TH0100X
Clinical Psychologist 103TC0700X 38873 TX Primary

Addresses

Primary practice location

508 Deep Eddy Ave
Austin, TX 78703-4555

Mailing address

2307 W 6TH St
Los Angeles, CA 90057-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240923000301 TX Practitioner - Clinical Psychologist 5890236509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep Eddy Psychotherapy Management, LLCGroup PAC ID 2264886936, 70 clinicians

Practice addresses (Care Compare)

1500 W 38TH St
Suite 44
Austin, TX 78731-6319
Phone (512) 956-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38873TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Eddy Psychotherapy Management, LLC Clinical CurrentSince Sep 10, 2024 Accepting new patients
Healthright 360 Past Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

1500 W 38th St
Ste 44
Austin, TX 78731
Phone (512) 469-0889

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1043767197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 DEEP EDDY AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034555",
            "telephone_number": "512-956-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGELYN",
        "first_name": "DANIEL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.