Daniel Marc Bagner, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS01079 Issued in RI

Practice address

11200 SW 8TH St Fiu Center for Children and Families
Miami, FL 33199-2659

Phone

(305) 348-7548

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1144485673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST FIU CENTER FOR CHILDREN AND FAMILIES",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331990001",
            "telephone_number": "305-348-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST FIU CENTER FOR CHILDREN AND FAMILIES",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992659",
            "telephone_number": "305-348-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNER",
        "first_name": "DANIEL",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8047",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "RI",
            "license": "PS01079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arwa Bager, MS, LMHC
• Yanicet Bages Tellez
• Christa Pauline Baggott, OT
• David Baghdassarian, M.D.
• Nancy Moreno Bagley, MSW
• Adriana Gladys Bagos-Estevez, MD
• Shaka Joaquin Doyle Bahadu, MD
• Bahama Mama Services Inc
• Stephanie Bahamon
• Emmanuel Isaac Bahamonde, M.D.

• Clinical Child & Adolescent Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.