Daniel Anthony Pace, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017585 Issued in NY

Practice address

500 Old Country Rd
Suite #301 B
Garden City, NY 11530-1901

Phone

(516) 279-7305

NPI assigned

Oct 19, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1447332507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 7TH ST",
            "address_2": "SUITE #111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305731",
            "telephone_number": "516-279-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD",
            "address_2": "SUITE #301 B",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301901",
            "telephone_number": "516-279-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A300052553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Irina Ozersky, AUD
• Sybil Padavathil, DMD
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• Ivan Pak, DDS

• Clinical Psychologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.