Active NPI
Daniel David O'Loughlin, PH.D.
- Counseling Psychologist
- Fredericksburg, TX
National Provider Identifier
1184777336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 24310
- Practice address
- 311 W San Antonio St
Fredericksburg, TX 78624-3726 - Phone
- (830) 997-0597
- Fax
- (830) 997-0597
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 24310 | TX | Primary |
Addresses
Primary practice location
311 W San Antonio St
Fredericksburg, TX 78624-3726
Mailing address
311 W San Antonio St
Fredericksburg, TX 78624-3726
Phone (830) 997-0597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
311 W San Antonio St
Fredericksburg, TX 78624-3726
Phone (830) 997-0597
518 Upper Albert Rd
Stonewall, TX 78671-3718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24310 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184777336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W SAN ANTONIO ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243726",
"telephone_number": "830-997-0597",
"fax_number": "830-997-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W SAN ANTONIO ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243726",
"telephone_number": "830-997-0597",
"fax_number": "830-997-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LOUGHLIN",
"first_name": "DANIEL",
"middle_name": "DAVID",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "24310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.