Active NPI
Jane E Daniel, PH.D.
- Clinical Psychologist
- Des Moines, IA
National Provider Identifier
1124189436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001150
- Practice address
- 500 Locust St PMB 126
Des Moines, IA 50309-4104 - Phone
- (515) 805-0956
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001150 | IA | Primary |
Addresses
Primary practice location
500 Locust St PMB 126
Des Moines, IA 50309-4104
Mailing address
PO Box 672
Ankeny, IA 50021-0672
Phone (515) 805-0956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110302000083 | IA | Practitioner - Clinical Psychologist | 8022299650 |
Reassigns benefits to 1 organization Practice locations: Sioux City, IA; Whiting, IA; Urbandale, IA; Onawa, IA; Missouri Valley, IA; Le Mars, IA; Hawarden, IA; Des Moines, IA… |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flowstate Health LLC | Clinical | Current | Accepting new patients |
| Randall P Bergen DPM PC | Past | Accepting new patients | |
| Whiting Commercial Development Corp | Past | Accepting new patients | |
| Art of Podiatry LLC | Past | Accepting new patients |
Locations
500 Locust St
Des Moines, IA 50309
Phone (515) 523-5550
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Des Moines, IA
- NPI 1114678141
Clinical, IA
-
- Special Hospital
- Sioux Center, IA
- NPI 1649403049
-
- Podiatric Clinic/Center
- Sioux City, IA
- NPI 1285891432
-
- Nursing Facility/Intermediate Care Facility
- Whiting, IA
- NPI 1649266842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1124189436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 672",
"city": "ANKENY",
"state": "IA",
"postal_code": "500210672",
"telephone_number": "515-805-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LOCUST ST PMB 126",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503094104",
"telephone_number": "515-805-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "JANE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "001150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.