Individual provider Active NPI

Daniel A Kleiner, PSYD

  • Clinical Psychologist
  • Rehoboth Beach, DE
National Provider Identifier
1689793556
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0011356 Issued in DE
Practice address
19409 Plantation Rd # 4
Rehoboth Beach, DE 19971-4413
Phone
(302) 224-1400
NPI assigned
Mar 29, 2007
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02834 MD
Clinical Psychologist 103TC0700X B1-0011356 DE Primary

Addresses

Primary practice location

19409 Plantation Rd # 4
Rehoboth Beach, DE 19971-4413

Mailing address

19409 Plantation Rd
Rehoboth Beach, DE 19971-4493
Phone (302) 724-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20221018000097 DE Practitioner - Clinical Psychologist 5991171845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

19409 Plantation Rd
Suite 4
Rehoboth Beach, DE 19971-4493
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02834MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC Clinical CurrentSince Sep 12, 2022 Accepting new patients
Center for Vein Restoration de LLC PastSince Sep 12, 2022 Accepting new patients

Locations

24077 Country Living Rd
Ste 2
Millsboro, DE 19966
Phone (302) 772-5132

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

19409 Plantation Rd
Unit 4
Rehoboth Beach, DE 19971
Phone (302) 878-1262

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1689793556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19409 PLANTATION RD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714493",
            "telephone_number": "302-724-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19409 PLANTATION RD # 4",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714413",
            "telephone_number": "302-224-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINER",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02834",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0011356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.