Active NPI
Daniel Edward Boone, PHD
- Psychologist
- New Albany, IN
National Provider Identifier
1427089648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042074A
- Practice address
- 811 Northgate Blvd
New Albany, IN 47150-6419 - Phone
- (502) 287-4628
- NPI assigned
- Jul 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20042074A | IN | Primary |
Addresses
Primary practice location
811 Northgate Blvd
New Albany, IN 47150-6419
Mailing address
811 Northgate Blvd
New Albany, IN 47150-6419
Phone (502) 287-4628
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 |
|---|---|---|---|
| 20042074A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1427089648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 NORTHGATE BLVD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506419",
"telephone_number": "502-287-4628",
"fax_number": "812-944-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 NORTHGATE BLVD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506419",
"telephone_number": "502-287-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "DANIEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042074A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.