Joseph Daniels, ED.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

7124 W Touhy Ave
Niles, IL 60714-4526

Phone

(312) 523-4384

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  Medicare reassignment NPD
• Anxiety and Stress Center, P.C.

  • Cognitive & Behavioral Psychologist
  • Homewood, IL
  • NPI 1568513034

  Clinical

  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144341884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N WEBER RD",
            "address_2": "358",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901569",
            "telephone_number": "312-523-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144526",
            "telephone_number": "312-523-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bozena Teresa Czerska, OTR
• D2 Dental of Lansing, P.C.
• Diane Martinez Dadivas, RD
• Jesus Rene Dadivas Jr., M.D.
• Mona Fe Kendi Dagani, RPT
• Robin David, MD
• Trudi Davis, LCSW
• Michael Lovino De Alba, PT
• Theresa Krueger De Carli, LCSW
• Christina Defilippis, LCSW

• Clinical Psychologist in Niles, IL
• Providers in Niles, IL by specialty
• Clinical Psychologist in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.