Kelly R Daniel, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

809 Issued in WV

Practice address

1115 20TH St
Suite 205
Huntington, WV 25703-2071

Phone

(304) 691-1500

Fax

(304) 523-4358

NPI assigned

Mar 29, 2006

Last updated

Nov 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David J. Humphreys, MD, Psychiatrist Inc.

  • Psychiatry Physician
  • Huntington, WV
  • NPI 1891954384
  NPD (past)
• University Physicians & Surgeons, Inc.

  dba University Physicians in Internal Medicine

  • Registered Dietitian
  • Huntington, WV
  • NPI 1205830858
  NPD (past)
• University Physicians & Surgeons, Inc.

  dba University Psychiatric Associates

  • Social Worker
  • Huntington, WV
  • NPI 1366446817
  NPD (past)
• University Physicians & Surgeons, Inc.

  • Health & Wellness Coach
  • Louisa, KY
  • NPI 1073256665
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1619938800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "address_2": "SUITE 205",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1500",
            "fax_number": "304-523-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "address_2": "SUITE 205",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1500",
            "fax_number": "304-523-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372212",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202134000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Damron
• Vladimir Stefanov Danailov
• Darlene Daneker, PH. D.
• Barbara J. Danford, AU.D.
• Jennifer T Daniel, DDS
• Desiree Daniels, ATC
• James David Daniels, MD
• Jayden K Daniels
• Penelope L Daniels, CFNP
• Tailere Daniels

• Clinical Psychologist in Huntington, WV
• Providers in Huntington, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.