Individual provider Active NPI

Daniel Anthony Proto, PH.D.

  • Clinical Neuropsychologist
  • Pensacola, FL
National Provider Identifier
1396151049
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY10607 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230001389 FL Practitioner - Clinical Psychologist 3274946702 Reassigns benefits to 1 organization

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
Neurocognitive Specialty Group PLLCGroup PAC ID 9133451297, 10 clinicians

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

LicenseStateTypeSpecialty
LP 2203KSMDClinical Neuropsychologist
PY10607FLMDClinical Psychologist
LP2203KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocognitive Specialty Group, PLLC Clinical Neuropsychologist CurrentSince Oct 1, 2020 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

Verify at the official NPI Registry.