Active NPI
Whiteside and Daniel, P.a.
- Family Psychologist
- Raleigh, NC
National Provider Identifier
1669694154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 1507
- Legal business name
- WHITESIDE AND DANIEL, P.A.
- Practice address
- 4301 Lake Boone TRL
Suite 208
Raleigh, NC 27607-7507 - Phone
- (919) 783-8847
- Fax
- (919) 783-0790
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sheryll Anne Daniel, PH.D.
- Title
- President
- Phone
- (919) 783-8847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1507 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1453 | NC | |
| Clinical Psychologist | 103TC0700X | 1453 | NC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1507 | NC | |
| Exercise & Sports Psychologist | 103TE1100X | 1453 | NC | |
| Family Psychologist | 103TF0000X | 1453 | NC | |
| Family Psychologist | 103TF0000X | 1507 | NC | Primary |
| Health Service Psychologist | 103TH0100X | 1453 | NC | |
| School Psychologist | 103TS0200X | 1507 | NC |
Addresses
Primary practice location
4301 Lake Boone TRL
Suite 208
Raleigh, NC 27607-7507
Mailing address
4301 Lake Boone TRL
Suite 208
Raleigh, NC 27607-7507
Phone (919) 783-8847
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0315K | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 0489C | Other | NC | BLUE CROSS BLUE SHIELD NC |
National Provider Directory
National Provider DirectoryLocations
4301 Lake Boone Trl
Ste 208
Raleigh, NC 27607
Phone (919) 783-8847
Practitioners & affiliated clinicians
Practitioners 1
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": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1669694154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 LAKE BOONE TRL",
"address_2": "SUITE 208",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077507",
"telephone_number": "919-783-8847",
"fax_number": "919-783-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 LAKE BOONE TRL",
"address_2": "SUITE 208",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077507",
"telephone_number": "919-783-8847",
"fax_number": "919-783-0790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITESIDE AND DANIEL, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DANIEL",
"authorized_official_first_name": "SHERYLL",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-783-8847",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "1507",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "1507",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Exercise & Sports",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "NC",
"license": "1507",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "1453",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "NC",
"license": "1507",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "0315K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "0489C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.