Daniel B. Nagelberg, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

000734 Issued in GA

Practice address

322 Stephenson Ave Ste B
Savannah, GA 31405-4346

Phone

(912) 352-2992

Fax

(912) 352-3447

NPI assigned

Dec 11, 2006

Last updated

May 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.danielnagelberg@143219.advancedmd-direct.com

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.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD
• Shrink Savannah

  • Adult Mental Health Clinic/Center
  • Savannah, GA
  • NPI 1659731826
  Medicare reassignment NPD
• Coastal Psychology, LLC

  • Clinical Psychologist
  • Savannah, GA
  • NPI 1720363328
  NPD (past) Authorized official
• Daniel B. Nagelberg, PH.D. Dba Coastal Psychology

  • Psychologist
  • Savannah, GA
  • NPI 1467597864
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1396805131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 STEPHENSON AVE STE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054346",
            "telephone_number": "912-352-2992",
            "fax_number": "912-352-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 STEPHENSON AVE STE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054346",
            "telephone_number": "912-352-2992",
            "fax_number": "912-352-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGELBERG",
        "first_name": "DANIEL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "000734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220283B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maranda-Claire Myles, RBT
• Myracle Hands Home Care (Myracle Hands Home)
• Myracle Hands Home Health Care,LLC
• Payam Nabizadeh-Eraghi, M.D.
• Alyssa Nadji, RN, FNP-C
• Anne Brawner Namnoum, M.D.
• Dale Nance, MD
• Rachel Cheyanne Nance, DC
• Rajeev Nanda, AA
• Ashley Naquin, RN

• Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.