Active NPI
Danielle Marie Mire, M.D., M.S.ED.
- Child & Adolescent Psychiatry Physician
- New Albany, IN
National Provider Identifier
1508037136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 01068598A
- Practice address
- 819 Mount Tabor Rd
Suite 2
New Albany, IN 47150-6414 - Phone
- (812) 590-3385
- Fax
- (812) 590-3373
- NPI assigned
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 201286 | LA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 43053 | KY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 01068598A | IN | Primary |
Addresses
Primary practice location
819 Mount Tabor Rd
Suite 2
New Albany, IN 47150-6414
Mailing address
819 Mount Tabor Rd
Suite 2
New Albany, IN 47150-6414
Phone (812) 590-3385
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068598A | IN | MD | Child & Adolescent Psychiatry Physician |
| 43053 | KY | MD | Child & Adolescent Psychiatry Physician |
| 201286 | LA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1508037136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 MOUNT TABOR RD",
"address_2": "SUITE 2",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506414",
"telephone_number": "812-590-3385",
"fax_number": "812-590-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 MOUNT TABOR RD",
"address_2": "SUITE 2",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506414",
"telephone_number": "812-590-3385",
"fax_number": "812-590-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRE",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D., M.S.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "LA",
"license": "201286",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "KY",
"license": "43053",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IN",
"license": "01068598A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.