Active NPI
Jennifer Lynn Daniell, PH.D.
- Psychologist
- Indianapolis, IN
National Provider Identifier
1225130495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 5035 N Park Ave
Indianapolis, IN 46205-1063 - Phone
- (918) 691-1609
- Fax
- (999) 999-9999
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Clinical Psychologist | 103TC0700X | 652 | OK |
Addresses
Primary practice location
5035 N Park Ave
Indianapolis, IN 46205-1063
Mailing address
5035 N Park Ave
Indianapolis, IN 46205-1063
Phone (918) 691-1609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100837960B | Medicaid | OK |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 652 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Daniell, PHD, PC | Clinical | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1336012731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1225130495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5035 N PARK AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051063",
"telephone_number": "918-691-1609",
"fax_number": "999-999-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5035 N PARK AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051063",
"telephone_number": "918-691-1609",
"fax_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELL",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "652",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100837960B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.