Active NPI
Daniel Feldman, PH.D.
- Psychologist
- Paonia, CO
National Provider Identifier
1376881656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017998
- Practice address
- 15635 Fire Mountain Rd
Paonia, CO 81428-4109 - Phone
- (970) 527-4160
- NPI assigned
- Jan 22, 2013
- Last updated
- Aug 11, 2016
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3572 | CO | |
| Psychologist | 103T00000X | 017998 | PA | Primary |
Addresses
Primary practice location
15635 Fire Mountain Rd
Paonia, CO 81428-4109
Mailing address
235 Court St
Newtown, PA 18940-1913
Phone (800) 511-6150
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 |
|---|---|---|---|
| 017998 | PA | MD | Psychologist |
| 3572 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1376881656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 COURT ST",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401913",
"telephone_number": "800-511-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15635 FIRE MOUNTAIN RD",
"city": "PAONIA",
"state": "CO",
"postal_code": "814284109",
"telephone_number": "970-527-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "DANIEL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "3572",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "017998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paonia, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.