Active NPI
Dan Daniels PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
National Provider Identifier
1063730307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 6801017637
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William D Daniels II, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Psychologist
- Flint, MI
- NPI 1902981699
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.