Individual provider Active NPI

Stephanie Sergent Daniel, PHD

  • Clinical Child & Adolescent Psychologist
  • Greensboro, NC
National Provider Identifier
1346224300
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2417 Issued in NC
Practice address
200 E Northwood St
Suite 320
Greensboro, NC 27401-1224
Phone
(336) 346-3192
Fax
(336) 346-3197
NPI assigned
Dec 2, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2417 NC
Clinical Child & Adolescent Psychologist 103TC2200X 2417 NC Primary

Addresses

Primary practice location

200 E Northwood St
Suite 320
Greensboro, NC 27401-1224

Mailing address

200 E Northwood St
Suite 320
Greensboro, NC 27401-1224
Phone (336) 346-3192

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

LicenseStateTypeSpecialty
2417NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uncg Psychology Clinic Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346224300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E NORTHWOOD ST",
            "address_2": "SUITE 320",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011224",
            "telephone_number": "336-346-3192",
            "fax_number": "336-346-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E NORTHWOOD ST",
            "address_2": "SUITE 320",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011224",
            "telephone_number": "336-346-3192",
            "fax_number": "336-346-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "STEPHANIE",
        "middle_name": "SERGENT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2417",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.