Individual provider Active NPI

Danielle Christine Calas, PSY. D.

  • Psychologist
  • Madison, WI
National Provider Identifier
1730766973
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3862-57 Issued in WI
Practice address
301 Troy Dr
Administration Building
Madison, WI 53704-1521
Phone
(608) 301-1045
Fax
(608) 301-1390
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 3862-57 WI Primary

Addresses

Primary practice location

301 Troy Dr
Administration Building
Madison, WI 53704-1521

Mailing address

301 Troy Dr
Administration Building
Madison, WI 53704-1521
Phone (608) 301-1045

Other identifiers 1

IdentifierTypeStateIssuer
3862-57OtherWIDEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

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

State licenses

LicenseStateTypeSpecialty
3862-57WIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1730766973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TROY DR",
            "address_2": "ADMINISTRATION BUILDING",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041521",
            "telephone_number": "608-301-1045",
            "fax_number": "608-301-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TROY DR",
            "address_2": "ADMINISTRATION BUILDING",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041521",
            "telephone_number": "608-301-1045",
            "fax_number": "608-301-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAS",
        "first_name": "DANIELLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3862-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "3862-57",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.