Individual provider Active NPI

Sheryll Anne Daniel, PH.D.

  • Clinical Psychologist
  • Cary, NC
National Provider Identifier
1093936239
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1453 Issued in NC
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

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0315KOtherNCBLUE 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
1453NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatry and Psychology Associates, P.a. Clinical Past Accepting new patients
Family Psychiatry Practice & Associates, PLLC Clinical PastSince Sep 4, 2022 Accepting new patients
Whiteside and Daniel, P.a. Cognitive & Behavioral PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.