Active NPI
Daniel Lord, PH.D.
- Clinical Psychologist
- Anchorage, AK
National Provider Identifier
1679990279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- CP-8
- Practice address
- 600 Richardson Drive Community Center,
Fort Richardson
Anchorage, AK 99505 - Phone
- (907) 384-1534
- NPI assigned
- Mar 21, 2014
- Last updated
- Mar 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | CP-8 | GU | Primary |
Addresses
Primary practice location
600 Richardson Drive Community Center,
Fort Richardson
Anchorage, AK 99505
Mailing address
4710 Sportsman Dr
Anchorage, AK 99502-4176
Phone (907) 274-4504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP-8 | GU | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1679990279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 SPORTSMAN DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995024176",
"telephone_number": "907-274-4504",
"fax_number": "907-274-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RICHARDSON DRIVE COMMUNITY CENTER,",
"address_2": "FORT RICHARDSON",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99505",
"telephone_number": "907-384-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GU",
"license": "CP-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.