Active NPI
Michael David McDaniel, EDD, LPC, LISAC
- Professional Counselor
- Scottsdale, AZ
National Provider Identifier
1083967079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-1937
- Practice address
- 10005 E Osborn Rd
Scottsdale, AZ 85256-4019 - Phone
- (480) 362-7267
- Fax
- (480) 362-7586
- NPI assigned
- Oct 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-1937 | AZ | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | LISAC-1446 | AZ |
Addresses
Primary practice location
10005 E Osborn Rd
Scottsdale, AZ 85256-4019
Mailing address
10005 E Osborn Rd
Scottsdale, AZ 85256-4019
Phone (480) 362-7267
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 |
|---|---|---|---|
| LPC-1937 | AZ | MD | Professional Counselor |
| LISAC-1446 | AZ | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1083967079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10005 E OSBORN RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852564019",
"telephone_number": "480-362-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10005 E OSBORN RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852564019",
"telephone_number": "480-362-7267",
"fax_number": "480-362-7586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "EDD, LPC, LISAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-1937",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-1446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.