Daniel Cantor, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

17863 Issued in PA

Practice address

7500 Germantown Ave
Elders Hall, Suite 5
Philadelphia, PA 19119-1600

Phone

(267) 417-7476

NPI assigned

Oct 19, 2016

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Courdea Center Incorporated

  dba Courdea

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1912522525
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1487105060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S 50TH ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431689",
            "telephone_number": "215-242-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GERMANTOWN AVE",
            "address_2": "ELDERS HALL, SUITE 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191600",
            "telephone_number": "267-417-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "DANIEL",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2023-12-19",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017863",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "17863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryellen Canouse
• Luke Anthony Cantamessa, DMD
• Danielle Marie Canter
• Caitlin Deborah Cantor, LCSW, MSW
• Charles R Cantor, MD
• David John Cantor, MD, PHD
• Roseanne Koslin Cantor, PSYD
• Lacey Cantrell, MD
• Candace Cantwell-Foy, CRNP
• Christina Ann Cantwell

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.