Daniel Medlar, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

35 E Elizabeth Ave
Suite 5
Bethlehem, PA 18018-6505

Phone

(610) 417-7822

Fax

(610) 868-2055

NPI assigned

Jul 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322352000000",
    "number": "1578875407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E ELIZABETH AVE",
            "address_2": "SUITE 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-417-7822",
            "fax_number": "610-868-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E ELIZABETH AVE",
            "address_2": "SUITE 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-417-7822",
            "fax_number": "610-868-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLAR",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Staffing Network, Inc.
• Dinnette Aracely Medina, MA
• Rene Agne Medina, LCSW
• Sylvia Medina, O.D.
• Tasha Medina, LCSW
• Medoptic, P.C.
• Diane Meehan, PAC
• Nathan Mege, DO
• Courtney Mehalko
• Hetul Mehta, D.O.

• Clinical Neuropsychologist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.