Individual provider Active NPI

Danielle Marie Mire, M.D., M.S.ED.

  • Child & Adolescent Psychiatry Physician
  • New Albany, IN
National Provider Identifier
1508037136
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
01068598A Issued in IN
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

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
01068598AINMDChild & Adolescent Psychiatry Physician
43053KYMDChild & Adolescent Psychiatry Physician
201286LAMDChild & 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.

Verify at the official NPI Registry.