Lisa Daniels

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

95189262504 Issued in UT

Practice address

4568 S Highland Dr Ste 260B
Salt Lake City, UT 84117-4236

Phone

(435) 538-9899

Fax

(801) 355-4355

NPI assigned

Feb 29, 2016

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1477913762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 260B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174236",
            "telephone_number": "435-538-9899",
            "fax_number": "801-355-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 260B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174236",
            "telephone_number": "435-538-9899",
            "fax_number": "801-355-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 Rasmussen Rd",
            "address_2": "D210",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840985684",
            "country_code": "US",
            "telephone_number": "435-645-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "UT",
            "license": "95189262504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daupheni Nan Daniels, C.M.
• Emily C Daniels, AGACNP-BC
• Gabriel Daniels
• Hairiee Anne Daniels
• Jonathan Pearson Daniels, MD
• Nina Daniels, CDA
• Paul Norman Daniels, DPM
• Julia Starr Danielson
• Barbara Ann Danner, APCI
• Justin Danover, DC

• Clinical Child & Adolescent Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Child & Adolescent Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.