Benjamin G Danis, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00001512 Issued in WA

Practice address

4105 E Madison St
Suite 222
Seattle, WA 98112-3291

Phone

(206) 325-7774

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

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  • Chiropractor
  • Seattle, WA
  • NPI 1902880578
  NPD (past)
• Premier Diabetes Care, PLLC

  • Adult Health Nurse Practitioner
  • Arlington, WA
  • NPI 1235696568
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225056369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980201119",
            "telephone_number": "206-325-7774",
            "fax_number": "425-771-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 E MADISON ST",
            "address_2": "SUITE 222",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123291",
            "telephone_number": "206-325-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIS",
        "first_name": "BENJAMIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER #",
            "identifier": "DA0071",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen David Daniels, MD
• Amy Jean Danielson, PT
• Benjamin S Danielson
• Kirk Damien Danielson, MD
• Per E. Danielsson, MD
• Carole Marie Danis, MSW, LICSW
• Dorender Appiah Dankwa
• Audrey Owusua Dankwah
• Timothy Shawn Dannels, MSN, APRN, FNP
• Julia Dannenbaum

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.