Daniel McKinney

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28004 Issued in CA

Practice address

12501 Chandler Blvd
102
Valley Village, CA 91607-1941

Phone

(818) 821-6012

Fax

(818) 821-6014

NPI assigned

Feb 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pro Psych Services Inc

  • Clinical Psychologist
  • Valley Village, CA
  • NPI 1043224959
  Medicare reassignment NPD

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1518325729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071955",
            "telephone_number": "818-821-6012",
            "fax_number": "818-821-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD",
            "address_2": "102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "818-821-6012",
            "fax_number": "818-821-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY28004",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maximum Care Hospice, Inc.
• Salomon Maya, D.M.D.
• Frank Anthony Mazzola, MFT CEAP SAP
• Markita Darlene McGee, LVN
• Gabriel Daniel McGrade
• Med-HH18 Inc.
• Erica Medine, M.S
• Medix Supplies, Inc.
• Andrew Megerdechian
• Hambartsoum Mekharian

• Clinical Psychologist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.