Daniel Paul Wilcox, GRAD STUDENT TRAINEE

Primary specialty

PsychoanalystTaxonomy code 102L00000X

Practice address

960 E Green St Ste 280
Pasadena, CA 91106-2419

Phone

(714) 824-7441

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1427704634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 FAIR PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411918",
            "telephone_number": "714-824-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 280",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062419",
            "telephone_number": "714-824-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "credential": "GRAD STUDENT TRAINEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "Therapy Program Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "960 E Green St Ste 280",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911062419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Glazer Wieland, LCSW
• Mirie Anne Wiesenberg
• Beverly Wike, O.T.
• Dasani Dene Wilburn
• Cherell Wilcox
• Heidi Wilcox
• John Gordon Wilcox, M.D.
• Mary L Wiley
• Melita Wiley
• Michele Wilkens, PSY.D.

• Psychoanalyst in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychoanalyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.