Robert McDaniel, MD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A39596 Issued in CA

Practice address

17291 Irvine Blvd Ste 104
Tustin, CA 92780-2929

Phone

(714) 730-0505

Fax

(714) 730-0113

NPI assigned

Jul 12, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Positive Recovery Center

  • Psychologist
  • Tustin, CA
  • NPI 1467720243
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1245595495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17291 IRVINE BLVD STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802929",
            "telephone_number": "714-730-0505",
            "fax_number": "714-730-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17291 IRVINE BLVD STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802929",
            "telephone_number": "714-730-0505",
            "fax_number": "714-730-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "A39596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Jeanne Mazzei, PA-C
• Gary Wayne McBeath, DR
• Roseann Bailey McCants, SUDCC III
• Michael J. McCartney, D.D.S.
• Glenn Earle McClellan II, PH.D.
• David A McDonough, M.D.
• Linda McFadden, LCSW MFCC
• Jennifer Rose McGivern, LMFT
• M Jane McGlocklin-Noble, LCSW
• Cecilia Juliana McKay, LMFT

• Mental Health Counselor in Tustin, CA
• Providers in Tustin, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.