Individual provider Active NPI

Daniel M Neims, PSYD

  • Psychologist
  • Bremerton, WA
National Provider Identifier
1710068481
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00001863 Issued in WA
Practice address
7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241
Phone
(360) 613-4120
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00001863 WA Primary

Addresses

Primary practice location

7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241

Mailing address

2240 NW 40TH Ter Ste a
Gainesville, FL 32605-3590
Phone (352) 378-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210809003338 FL Practitioner - Clinical Psychologist 1254735558 Practice locations: Gainesville, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2240 NW 40TH Terrace
Suite a
Gainesville, FL 32605-3590
Phone (352) 378-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY00001863WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimi James, PHD, Inc, PS PastSince May 1, 2007 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1710068481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 NW 40TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053590",
            "telephone_number": "352-378-0900",
            "fax_number": "352-378-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-613-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMS",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.