Active NPI
Michael Shawn McDaniel, PSY.D.
- Psychologist
- Kansas City, MO
National Provider Identifier
1215135694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2007033941
- Practice address
- 1000 E 24TH St Unit 2C
Kansas City, MO 64108-2776 - Phone
- (816) 404-3710
- Fax
- (816) 404-3611
- NPI assigned
- Jul 6, 2007
- Last updated
- Dec 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2007033941 | MO | |
| Psychologist | 103T00000X | 2007033941 | MO | Primary |
Addresses
Primary practice location
1000 E 24TH St Unit 2C
Kansas City, MO 64108-2776
Mailing address
PO Box 576
Warrensburg, MO 64093-0576
Phone (888) 409-9303
Other practice location 1
901 W Main St
Suite 100
Blue Springs, MO 64015-3743
Phone (888) 409-9303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497300806 | Medicaid | MO |
Other names 1
- Dr. Shawn McDaniel
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Past | Accepting new patients |
Interoperability endpoints
- shawn.mcdaniel@direct.tmcmed.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1215135694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640930576",
"telephone_number": "888-409-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 24TH ST UNIT 2C",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082776",
"telephone_number": "816-404-3710",
"fax_number": "816-404-3611"
}
],
"practiceLocations": [
{
"address_1": "901 W Main St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Blue Springs",
"state": "MO",
"postal_code": "640153743",
"country_code": "US",
"telephone_number": "888-409-9303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDANIEL",
"first_name": "MICHAEL",
"middle_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2007033941",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2007033941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497300806",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAWN",
"last_name": "MCDANIEL",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.