Individual provider Active NPI

Daniel David O'Loughlin, PH.D.

  • Counseling Psychologist
  • Fredericksburg, TX
National Provider Identifier
1184777336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
24310 Issued in TX
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
24310TXMDGeneral 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

Verify at the official NPI Registry.