Mark C Daniels, PH.D.
Individual provider Active NPI Clinical Psychologist · Vermillion, SD
NPI 1194908889 · NPPES record last updated Dec 17, 2007
Key facts
- NPI
- 1194908889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 428 (SD)
- Practice address
- 409 S Pine St
Vermillion, SD 57069-3515 - Phone
- (605) 624-4766
- NPI assigned
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Health Network
Practice addresses (Care Compare)
20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111
Hospital & facility affiliations
- Sanford Vermillion Medical Center
- Sanford Hospital Webster - Cah
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190204000833 | SD | Practitioner - Clinical Psychologist | 4385981034 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients |
Locations
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
101 Peabody Dr
Webster, SD 57274
Phone (605) 226-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 428 | SD | Yes |
Addresses
Primary practice location
409 S Pine St
Vermillion, SD 57069-3515
Mailing address
409 S Pine St
Vermillion, SD 57069-3515
Phone (605) 624-4766
Other providers in Vermillion, SD
- City of Vermillion
- Clay Union Electric Corp.
- Tammy Dee Clodfelter
- Carly Cooper
- Kaleb Crownover
- Davis Pharmacy Inc
- Davis Unit Dose
- Sydney Davis
- Amy M Dejong
- William J Dendinger
All providers in Vermillion, SD · Clinical Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.