Active NPI
Kimberly Daniel, PH.D.
- Clinical Psychologist
- Riviera Beach, FL
National Provider Identifier
1699706374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6527
- Practice address
- 7305 N Military TRL
Vamc 116 MH&BS
Riviera Beach, FL 33410-7417 - Phone
- (561) 422-8234
- Fax
- (561) 422-6992
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- 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 | 6527 | MA | Primary |
Addresses
Primary practice location
7305 N Military TRL
Vamc 116 MH&BS
Riviera Beach, FL 33410-7417
Mailing address
14 Hampton CT
Palm Beach Gardens, FL 33418-7104
Phone (561) 422-8234
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 |
|---|---|---|---|
| 6527 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699706374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HAMPTON CT",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334187104",
"telephone_number": "561-422-8234",
"fax_number": "561-422-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 N MILITARY TRL",
"address_2": "VAMC 116 MH&BS",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334107417",
"telephone_number": "561-422-8234",
"fax_number": "561-422-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "KIMBERLY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.