Katie Patricia Daly, M.A., PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017501 Issued in PA

Practice address

403 N 7TH St
Eglin Air Force Base
Eglin Afb, FL 32542-5643

Phone

(850) 883-8374

NPI assigned

Apr 23, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bayer Neurobehavioral Center, PLLCGroup PAC ID 4981922747, 7 clinicians

Krueger Wellness Institute IncGroup PAC ID 6406279348, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bayer Neurobehavioral Center, PLLC

  • Clinical Neuropsychologist
  • Fort Walton Beach, FL
  • NPI 1720470255
  Medicare reassignment Care Compare group NPD
• Krueger Wellness Institute Inc

  • Clinical Psychologist
  • Niceville, FL
  • NPI 1518526144
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1508286972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N 7TH ST",
            "address_2": "EGLIN AIR FORCE BASE",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325425643",
            "telephone_number": "850-883-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 7TH ST",
            "address_2": "EGLIN AIR FORCE BASE",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325425643",
            "telephone_number": "850-883-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "KATIE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.A., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly J. Crow, LCSW
• Jennifer Linda Cuevas, IDC
• Brandon Jay Cunningham, DO
• Vernessa S. Cunningham, M.D.
• Augusta L Czysz, MD
• Thomas Damrow, DO
• Patrick James Danaher
• Patricia Callaway Daniel, MD
• Kelly Shea Davidson, M.D.
• Tod Eric Davidson, DDS

• Psychologist in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.