Active NPI
Daniel Patrick D'Allaird, LP
- Psychologist
- Cloquet, MN
National Provider Identifier
1639108574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP4492
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightwater Health Dba Human Development Center | Past | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Past | 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
- 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.
-
- Clinical Psychologist
- Duluth, MN
- NPI 1730243809
-
- Community/Behavioral Health Agency
- Cloquet, MN
- NPI 1114048527
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Duluth, MN
- NPI 1194790733
-
dba Northwood Children's Services DA Center
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Duluth, MN
- NPI 1295891083
Psychologist
-
- Mental Illness Community Based Residential Treatment Facility
- Duluth, MN
- NPI 1588720494
Psychologist
-
- Psychiatric Residential Treatment Facility
- Duluth, MN
- NPI 1851457758
Psychologist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.