Active NPI
Nickolas J. McDaniel, IMF 62383
- Marriage & Family Therapist
- Monterey, CA
National Provider Identifier
1063744787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 62383
- Practice address
- 494 Alvarado Street
Suite a
Monterey, CA 93940 - Phone
- (831) 375-7553
- NPI assigned
- Feb 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 62383 | CA | Primary |
Addresses
Primary practice location
494 Alvarado Street
Suite a
Monterey, CA 93940
Mailing address
494 Alvarado Street
Suite a
Monterey, CA 93940
Phone (831) 375-7553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMF 62383 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 62383 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1063744787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 ALVARADO STREET",
"address_2": "SUITE A",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-375-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 ALVARADO STREET",
"address_2": "SUITE A",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-375-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "NICKOLAS",
"middle_name": "J.",
"credential": "IMF 62383",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 62383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "IMF 62383",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.