Individual provider Active NPI

Daniele P McNeill, PH.D.

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1396849337
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0801000927 Issued in VA
Practice address
729 Trio LN
Virginia Beach, VA 23452-5931
Phone
(757) 557-6328
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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 0801000927 VA Primary

Addresses

Primary practice location

729 Trio LN
Virginia Beach, VA 23452-5931

Mailing address

729 Trio Lane
Virginia Beach, VA 23452-6860
Phone (757) 557-6328

Other identifiers 3

IdentifierTypeStateIssuer
680000862MedicaidVA
1396849337MedicaidVA
042754OtherVAANTHEM

Other names 1

  • Daniele P Power Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090305000750 VA Practitioner - Clinical Psychologist 8022174622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

729 Trio LN
Virginia Beach, VA 23452-5931
Phone (757) 557-6328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0801000927VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Weissman, PH.D.,LTD Clinical CurrentSince May 1, 2008 Accepting new patients
Psychotherapy Resources of Norfolk LTD Clinical PastSince May 1, 2008 Accepting new patients

Locations

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

3210 Churchland Blvd
Ste 4
Chesapeake, VA 23321
Phone (757) 483-3340

Organizations & group practices 3

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1396849337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 TRIO LANE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526860",
            "telephone_number": "757-557-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 TRIO LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525931",
            "telephone_number": "757-557-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "DANIELE",
        "middle_name": "P",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0801000927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680000862",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396849337",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "042754",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELE",
            "last_name": "POWER",
            "middle_name": "P",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.