Individual provider Active NPI

Daniel Patrick D'Allaird, LP

  • Psychologist
  • Cloquet, MN
National Provider Identifier
1639108574
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4492 Issued in MN
Practice address
40 11TH St
Cloquet, MN 55720-1817
Phone
(218) 879-4559
Fax
(218) 879-0282
NPI assigned
Jul 2, 2006
Last updated
Aug 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4492 MN Primary

Addresses

Primary practice location

40 11TH St
Cloquet, MN 55720-1817

Mailing address

1401 E 1St St
Duluth, MN 55805-2407
Phone (218) 728-4491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20050203000718 MN Practitioner - Clinical Psychologist 3476504796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Duluth Psychological Clinic IncGroup PAC ID 5395835243, 4 clinicians

Practice addresses (Care Compare)

205 W 2ND St
Suite 437
Duluth, MN 55802-1922
Phone (218) 722-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightwater Health Dba Human Development Center Past Accepting new patients
Brightwater Health Dba Human Development Center PastSince Sep 28, 2010 Accepting new patients
Northwood Children's Home Society Inc Psychologist Past Accepting new patients
Northwood Children's Home Society Inc Psychologist Past Accepting new patients
Northwood Children's Services, Inc. Psychologist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1639108574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491",
            "fax_number": "218-728-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 11TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201817",
            "telephone_number": "218-879-4559",
            "fax_number": "218-879-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALLAIRD",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.