Lynn J. McDaniel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2004033977 Issued in MO

Practice address

11144 Tesson Ferry Rd Ste 101
St. Louis, MO 63123-6965

Phone

(314) 729-1200

Fax

(314) 729-1201

NPI assigned

Dec 18, 2006

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 names 1

• Lynn J Farmer Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shanon Harlow LLCGroup PAC ID 3375860588, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Shanon Harlow, LLC

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1336519206
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1679636070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 101",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-729-1200",
            "fax_number": "314-729-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 101",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-729-1200",
            "fax_number": "314-729-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "LYNN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2004033977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "FARMER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Logan Scott McDanel, AGACNP-BC
• McDaniel Nutrition Therapy, LLC
• Jennifer Louise McDaniel, MS, RDN, CSSD
• Kelvin Paul McDaniel Jr., D.O.
• Kendall McDaniel, MD
• Phillip McDaniel, D.O.
• Sharon Ann McDaniel, MA, PLPC
• Brittnee E McDermott, LCSW
• Kelly Eileen McDermott, MD
• Megan H McDermott, FNP

• Clinical Psychologist in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.

Verify at the official NPI Registry.