Organization Active NPI

Dan Daniels PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
National Provider Identifier
1063730307
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6801017637 Issued in MI
Legal business name
DAN DANIELS PC
Practice address
4511 Miller Rd
Flint, MI 48507-1107
Phone
(810) 230-2640
NPI assigned
May 11, 2010
Last updated
May 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
William D Daniels II, LMSWNPI 1902981699
Title
Sole Proprietor
Phone
(810) 230-2640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6801017637 MI Primary

Addresses

Primary practice location

4511 Miller Rd
Flint, MI 48507-1107

Mailing address

4511 Miller Rd
Flint, MI 48507-1107
Phone (810) 230-2640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1063730307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071107",
            "telephone_number": "810-230-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071107",
            "telephone_number": "810-230-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN DANIELS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "810-230-2640",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6801017637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.