Individual provider Active NPI

Danielle B Schlichter, PSY.D.

  • Clinical Psychologist
  • Glendale, CA
National Provider Identifier
1679705180
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 25720 Issued in CA
Practice address
1413 1/2 W Kenneth Rd # 73
Glendale, CA 91201-1478
Phone
(818) 861-6463
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 25720 CA Primary

Addresses

Primary practice location

1413 1/2 W Kenneth Rd # 73
Glendale, CA 91201-1478

Mailing address

1413 1/2 W Kenneth Rd # 73
Glendale, CA 91201-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY 25720CAMDClinical Psychologist
25720CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Connections Psychological Services, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1679705180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 1/2 W KENNETH RD # 73",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 1/2 W KENNETH RD # 73",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011478",
            "telephone_number": "818-861-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLICHTER",
        "first_name": "DANIELLE",
        "middle_name": "B",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.