Individual provider Active NPI

Argene K Danielides, PH.D.

  • Psychologist
  • Ormond Beach, FL
National Provider Identifier
1457433468
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P43869 Issued in FL
Practice address
595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5190
Phone
(386) 677-3995
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Adult Development & Aging Psychologist 103TA0700X
Cognitive & Behavioral Psychologist 103TB0200X
Counseling Psychologist 103TC1900X
Clinical Child & Adolescent Psychologist 103TC2200X
Psychologist 103T00000X P43869 FL Primary
Psychologist 103T00000X

Addresses

Primary practice location

595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5190

Mailing address

595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5190
Phone (386) 677-3995

Other identifiers 1

IdentifierTypeStateIssuer
75927OtherFLBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091203000216 FL Practitioner - Clinical Psychologist 3072652189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 W Granada Blvd
Suite H
Ormond Beach, FL 32174-5182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P43869FLMDPsychologist
3869FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hallandale Counseling Inc CurrentSince Oct 1, 2009 Accepting new patients

Locations

595 W Granada Blvd
Ste H
Ormond Beach, FL 32174
Phone (386) 677-3995

Organizations & group practices 1

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1457433468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745190",
            "telephone_number": "386-677-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745190",
            "telephone_number": "386-677-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELIDES",
        "first_name": "ARGENE",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "P43869",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "75927",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.