Active NPI
Daniel G McDonough, MD
- Psychiatry Physician
- Huntsville, AL
National Provider Identifier
1255339958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD25210
- Practice address
- 3007 Memorial Pkwy SW
Suite C
Huntsville, AL 35801-5393 - Phone
- (256) 799-2500
- Fax
- (256) 799-2501
- NPI assigned
- Jul 7, 2005
- Reactivated
- Mar 21, 2006
- Last updated
- Apr 10, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25210 | AL | |
| Psychiatry Physician | 2084P0800X | MD25210 | AL | Primary |
Addresses
Primary practice location
3007 Memorial Pkwy SW
Suite C
Huntsville, AL 35801-5393
Mailing address
3007 Memorial Pkwy SW
Suite C
Huntsville, AL 35801-5393
Phone (256) 799-2500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331334661 | Medicaid | AL | |
| 051558397 | Medicaid | AL | |
| 331300661 | Medicaid | AL | |
| 051558397 | Other | AL | BCBS |
| 51538378 | Other | AL | BCBS |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25210 | AL | MD | Specialist |
| MD25210 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Medicine PC | Specialist | Past | Accepting new patients |
| Alabama Sleep Clinic PC | Past | Accepting new patients | |
| Behavioral Sciences of Alabama Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Scottsboro, AL
- NPI 1770542573
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Huntsville, AL
- NPI 1881761302
-
dba Trinity Counseling
- Community/Behavioral Health Agency
- Huntsville, AL
- NPI 1942573100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1255339958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 MEMORIAL PKWY SW",
"address_2": "SUITE C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015393",
"telephone_number": "256-799-2500",
"fax_number": "256-799-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 MEMORIAL PKWY SW",
"address_2": "SUITE C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015393",
"telephone_number": "256-799-2500",
"fax_number": "256-799-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "DANIEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2012-04-10",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "25210",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "MD25210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331334661",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051558397",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331300661",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051558397",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51538378",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.