Active NPI
Daniel E Kruger, PHD
- Rehabilitation Psychologist
- Tucson, AZ
National Provider Identifier
1205820164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 3667
- Practice address
- 1601 W Saint Marys Rd
Tucson, AZ 85745-2623 - Phone
- (520) 872-4301
- Fax
- (520) 872-6279
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 3667 | AZ | Primary |
Addresses
Primary practice location
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Mailing address
5635 E Holmes St
Tucson, AZ 85711-2447
Phone (520) 323-0143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886020 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel E. Kruger, LLC | Past | Accepting new patients | |
| Carondelet Health Network | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Tucson, AZ
- NPI 1619009107
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1750788667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205820164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 E HOLMES ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112447",
"telephone_number": "520-323-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W SAINT MARYS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452623",
"telephone_number": "520-872-4301",
"fax_number": "520-872-6279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "AZ",
"license": "3667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886020",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.