Daylan Fredrick Hall

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

1320 NE 200TH Ter
Miami, FL 33179-5138

Phone

(305) 785-4864

NPI assigned

Oct 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hall Behavioral Services, LLC

  • Developmental Disabilities Clinic/Center
  • Miami, FL
  • NPI 1548773955
  NPD (past) Authorized official

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1710497326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NE 200TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795138",
            "telephone_number": "305-785-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NE 200TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795138",
            "telephone_number": "305-785-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DAYLAN",
        "middle_name": "FREDRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687028",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLICATION TRACKING NUMBER",
            "identifier": "687028",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Hall
• Andrea Marie Hall, PTA
• Angela Kakaley Hall, PA-C
• Bernadine Henly Hall, ARNP
• Damian Hall, MD
• Hilda Hall
• James Hall, LMT
• Jeannette Pena Hall, DMD
• Leyla Hall
• Mark Longley Hall, DMD

• Developmental Disabilities Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.