Active NPI
Daniel Anthony Proto, PH.D.
- Clinical Neuropsychologist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY10607
- Practice address
- 505 Palisades Rd
Pensacola, FL 32504-7912 - Phone
- (888) 606-0086
- Fax
- (346) 223-0296
- NPI assigned
- Jul 2, 2014
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | LP 2203 | KS | |
| Clinical Neuropsychologist | 103G00000X | PY10607 | FL | Primary |
| Clinical Psychologist | 103TC0700X | PY10607 | FL | |
| Clinical Psychologist | 103TC0700X | LP2203 | KS |
Addresses
Primary practice location
505 Palisades Rd
Pensacola, FL 32504-7912
Mailing address
112 Magnolia Estates Dr
League City, TX 77573-4613
Phone (888) 606-0086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6706 N 9TH Ave
Suite A4
Pensacola, FL 32504-7398
Phone (888) 606-0086
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 2203 | KS | MD | Clinical Neuropsychologist |
| PY10607 | FL | MD | Clinical Psychologist |
| LP2203 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurocognitive Specialty Group, PLLC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
505 Palisades Rd
Pensacola, FL 32504
Phone (850) 478-3133
6706 N 9th Ave
Ste A4
Pensacola, FL 32504
Phone (850) 478-2339
112 Magnolia Estates Dr
League City, TX 77573
Phone (281) 954-6828
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": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1396151049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MAGNOLIA ESTATES DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775734613",
"telephone_number": "888-606-0086",
"fax_number": "346-223-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PALISADES RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047912",
"telephone_number": "888-606-0086",
"fax_number": "346-223-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROTO",
"first_name": "DANIEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "KS",
"license": "LP 2203",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY10607",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10607",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "LP2203",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.