NPIMap

Organization Active NPI

Heidi Daniels, PH.D., P.a.

  • Clinical Psychologist
  • Prince Frederick, MD
National Provider Identifier
1538324595
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3077 Issued in MD
Legal business name
HEIDI DANIELS, PH.D., P.A.
Practice address
65 Duke St.
Prince Frederick, MD 20678
Phone
(301) 943-2245
Fax
(410) 257-5286
NPI assigned
Jul 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Heidi Daniels, PH.D.
Title
President
Phone
(301) 943-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3077 MD Primary

Addresses

Primary practice location

65 Duke St.
Prince Frederick, MD 20678

Mailing address

PO Box 160
Chesapeake Beach, MD 20732-0160
Phone (301) 943-2245

Other identifiers 2

IdentifierTypeStateIssuer
40150001OtherDCFEDERAL BLUE CROSS
GN31OtherMDCAREFIRST BLUE CROSS OF MARYLAND

National Provider Directory

National Provider Directory

Locations

22335 Exploration Dr
Ste 2025
Lexington Park, MD 20653
Phone (301) 862-5670

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1538324595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207320160",
            "telephone_number": "301-943-2245",
            "fax_number": "410-257-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUKE ST.",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "301-943-2245",
            "fax_number": "410-257-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI DANIELS, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-943-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "40150001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS OF MARYLAND",
            "identifier": "GN31",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.