Anne Lacy Daniels, ANNE DANIELS, ED.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3936 Issued in MA

Practice address

44 Roslyn Rd
Waban, MA 02468-1232

Phone

(617) 905-4925

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1104030949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1735",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026317735",
            "telephone_number": "617-905-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ROSLYN RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681232",
            "telephone_number": "617-905-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ANNE",
        "middle_name": "LACY",
        "name_prefix": "Dr.",
        "credential": "ANNE DANIELS, ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Chernin, M.D.
• Abby Chud, M.S., CCC-SLP
• Charis E Cladouhos, M.D.
• Mark Edward Costa, MD
• Robert Jean Cournoyer, PH.D.
• Paul David, M.D.
• Michael Davies
• Patricia Anne Dean, PSYD
• Kayla Lauren Devine
• Katherine Marie Dooley, LIC. AC.

• Clinical Neuropsychologist in Waban, MA
• Providers in Waban, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.