Individual provider Active NPI

John D. Daniels, PH.D.

  • Cognitive & Behavioral Psychologist
  • Del Mar, CA
National Provider Identifier
1184800591
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSY12009 Issued in CA
Practice address
14224 Recuerdo Dr
Del Mar, CA 92014-2956
Phone
(650) 935-2171
NPI assigned
Jan 16, 2008
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY12009 CA Primary

Addresses

Primary practice location

14224 Recuerdo Dr
Del Mar, CA 92014-2956

Mailing address

14224 Recuerdo Dr
Del Mar, CA 92014-2956
Phone (650) 935-2171

Other names 1

  • Dr. JD Daniels Professional name

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.
Opted out of Medicare
Yes, effective Apr 12, 2013 through Apr 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY12009CAMDCognitive & Behavioral Psychologist
12009CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1184800591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14224 RECUERDO DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142956",
            "telephone_number": "650-935-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14224 RECUERDO DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142956",
            "telephone_number": "650-935-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY12009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JD",
            "last_name": "DANIELS",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.