Active NPI
Susan Kay Daniel, PSY.D.
- Psychologist
- Altamonte Springs, FL
National Provider Identifier
1134340425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0004570
- Practice address
- 761 Maitland Ave
Altamonte Springs, FL 32701-6835 - Phone
- (407) 740-0208
- Fax
- (407) 740-0242
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY0004570 | FL | Primary |
Addresses
Primary practice location
761 Maitland Ave
Altamonte Springs, FL 32701-6835
Mailing address
1361 S Ridge Lake Cir
Longwood, FL 32750-2877
Phone (407) 740-0208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0004570 | FL | MD | Psychologist |
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": "1183852800000",
"number": "1134340425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 S RIDGE LAKE CIR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327502877",
"telephone_number": "407-740-0208",
"fax_number": "407-740-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAITLAND AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327016835",
"telephone_number": "407-740-0208",
"fax_number": "407-740-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY0004570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.