Individual provider Active NPI

Daniel Newton Short, PH.D

  • Counseling Psychologist
  • Scottsdale, AZ
National Provider Identifier
1114940319
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3499 Issued in AZ
Practice address
9855 E Larkspur Dr
Scottsdale, AZ 85260-5145
Phone
(480) 329-5359
Fax
(602) 718-5110
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3499 AZ Primary

Addresses

Primary practice location

9855 E Larkspur Dr
Scottsdale, AZ 85260-5145

Mailing address

9855 E Larkspur Dr
Scottsdale, AZ 85260-5145
Phone (480) 392-5359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000129 AZ Practitioner - Clinical Psychologist 7719965094 Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9855 E Larkspur Dr
Scottsdale, AZ 85260-5145
Phone (480) 329-5359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
True Difference, LLC Counseling PastSince Apr 18, 2012 Accepting new patients
True Difference PastSince Apr 18, 2012 Accepting new patients

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1114940319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 E LARKSPUR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605145",
            "telephone_number": "480-392-5359",
            "fax_number": "602-718-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 E LARKSPUR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605145",
            "telephone_number": "480-329-5359",
            "fax_number": "602-718-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "DANIEL",
        "middle_name": "NEWTON",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.