Individual provider Active NPI

Jane E Daniel, PH.D.

  • Clinical Psychologist
  • Des Moines, IA
National Provider Identifier
1124189436
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001150 Issued in IA
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

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Flowstate Health LLC Clinical CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.