Individual provider Active NPI

Daniel J. Metevier, PSY.D.

  • Clinical Psychologist
  • Carlsbad, CA
National Provider Identifier
1376518316
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19748 Issued in CA
Practice address
3150 El Camino Real Ste C
Carlsbad, CA 92008-2110
Phone
(760) 354-9140
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19748 CA Primary

Addresses

Primary practice location

3150 El Camino Real Ste C
Carlsbad, CA 92008-2110

Mailing address

3150 El Camino Real Ste C
Carlsbad, CA 92008-2110
Phone (760) 354-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20050124001005 CA Practitioner - Clinical Psychologist 3274583604 Practice locations: Carlsbad, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3150 El Camino Real
Suite C
Carlsbad, CA 92008-2110
Phone (760) 354-9140

3150 El Camino Real C
Carlsbad, CA 92008-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19748CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fall Creek Counceling Associates Past Accepting new patients
Debra Moore, PH.D. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1376518316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 EL CAMINO REAL STE C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082110",
            "telephone_number": "760-354-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 EL CAMINO REAL STE C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082110",
            "telephone_number": "760-354-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METEVIER",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.