Active NPI
Howard B. Daniels, PH.D.
- Clinical Psychologist
- Las Cruces, NM
National Provider Identifier
1477561173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 342
- Practice address
- 1655 S Don Roser Dr
Las Cruces, NM 88011-4545 - Phone
- (575) 523-2227
- NPI assigned
- Aug 4, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 342 | NM | Primary |
Addresses
Primary practice location
1655 S Don Roser Dr
Las Cruces, NM 88011-4545
Mailing address
1655 S Don Roser Dr
Las Cruces, NM 88011-4545
Phone (575) 523-2227
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N9766 | Medicaid | NM | |
| 201002229 | Other | NM | PRESBYTERIAN HEALTH |
| NM01N207 | Other | NM | BCBS & HMO OF NM |
| NM100650 | Other | NM | VALUE OPTIONS OF NM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern New Mexico Psychological Associates PA | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1194870303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1477561173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 S DON ROSER DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114545",
"telephone_number": "575-523-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 S DON ROSER DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114545",
"telephone_number": "575-523-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "HOWARD",
"middle_name": "B.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N9766",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH",
"identifier": "201002229",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS & HMO OF NM",
"identifier": "NM01N207",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS OF NM",
"identifier": "NM100650",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.