Active NPI
Sheryll Anne Daniel, PH.D.
- Clinical Psychologist
- Cary, NC
National Provider Identifier
1093936239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1453
- Practice address
- 1400 Crescent GRN
Suite 120
Cary, NC 27518-8118 - Phone
- (919) 233-4131
- Fax
- (919) 233-4168
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 1453 | NC | |
| Clinical Psychologist | 103TC0700X | 1453 | NC | Primary |
| Exercise & Sports Psychologist | 103TE1100X | 1453 | NC | |
| Family Psychologist | 103TF0000X | 1453 | NC | |
| Health Service Psychologist | 103TH0100X | 1453 | NC |
Addresses
Primary practice location
1400 Crescent GRN
Suite 120
Cary, NC 27518-8118
Mailing address
1400 Crescent GRN
Suite 120
Cary, NC 27518-8118
Phone (919) 233-4131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0315K | Other | NC | BLUE CROSS BLUE SHIELD NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Nov 23, 2013 through Nov 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1453 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychiatry and Psychology Associates, P.a. | Clinical | Past | Accepting new patients |
| Family Psychiatry Practice & Associates, PLLC | Clinical | Past | Accepting new patients |
| Whiteside and Daniel, P.a. | Cognitive & Behavioral | Past | Accepting new patients |
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.
-
- Child & Adolescent Psychiatry Physician
- Cary, NC
- NPI 1932513223
Clinical
-
- Child & Adolescent Psychiatry Physician
- Cary, NC
- NPI 1588384572
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1093936239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CRESCENT GRN",
"address_2": "SUITE 120",
"city": "CARY",
"state": "NC",
"postal_code": "275188118",
"telephone_number": "919-233-4131",
"fax_number": "919-233-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CRESCENT GRN",
"address_2": "SUITE 120",
"city": "CARY",
"state": "NC",
"postal_code": "275188118",
"telephone_number": "919-233-4131",
"fax_number": "919-233-4168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "SHERYLL",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1453",
"primary": true
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "1453",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "0315K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.