Organization Active NPI

Whiteside and Daniel, P.a.

  • Family Psychologist
  • Raleigh, NC
National Provider Identifier
1669694154
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
1507 Issued in NC
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

Updated by the provider on Sep 11, 2025

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.NPI 1093936239
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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1507 NC
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 1453 NC
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1453 NC
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 1507 NC
Exercise & Sports PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TE1100X 1453 NC
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 1453 NC
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 1507 NC Primary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X 1453 NC
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0315KOtherNCBLUE CROSS BLUE SHIELD NC
0489COtherNCBLUE CROSS BLUE SHIELD NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.