Individual provider Active NPI

Daniel J Mauer, PH.D.

  • Clinical Psychologist
  • Pompano Beach, FL
National Provider Identifier
1164484937
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9330 Issued in FL
Practice address
3200 NE 10TH St Apt 1
Pompano Beach, FL 33062-3947
Phone
(410) 746-6530
NPI assigned
Apr 5, 2006
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 PY9330 FL Primary

Addresses

Primary practice location

3200 NE 10TH St Apt 1
Pompano Beach, FL 33062-3947

Mailing address

3200 NE 10TH St Apt 1
Pompano Beach, FL 33062-3947
Phone (443) 777-7878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dan.mauer@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160112001277 FL Practitioner - Clinical Psychologist 5698843597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY9330FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Health Florida, PLLC Psychologist CurrentSince Nov 1, 2015 Accepting new patients
Daniel Mauer, PH.D., LLC CurrentSince Feb 24, 2022 Accepting new patients

Locations

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1164484937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NE 10TH ST APT 1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623947",
            "telephone_number": "443-777-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NE 10TH ST APT 1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623947",
            "telephone_number": "410-746-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dan.mauer@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3200 NE 10th St Apt 1",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330623947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.