Active NPI
Christopher Ryan McDaniel
- Marriage & Family Therapist
- Troy, MI
National Provider Identifier
1760938641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101006881
- Practice address
- 1777 Axtell Dr Ste 101
Troy, MI 48084-4400 - Phone
- (248) 787-0855
- Fax
- (248) 385-1193
- NPI assigned
- Aug 30, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006881 | MI | Primary |
Addresses
Primary practice location
1777 Axtell Dr Ste 101
Troy, MI 48084-4400
Mailing address
49972 Teton Pass
Shelby Township, MI 48315-3392
Phone (586) 991-6590
Other practice location 1
49972 Teton Pass
Shelby Township, MI 48315-3392
Phone (586) 991-6590
Other practice location 2
38271 Mound Rd Ste 100
Sterling Heights, MI 48310-3403
Phone (248) 817-4593
Other practice location 3
32901 23 Mile Rd Ste 190
Chesterfield, MI 48047-4064
Phone (586) 646-0667
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4101006881 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Oakland Regional Center Inc. | Past | Accepting new patients | |
| Sollars and Associates | Past | Accepting new patients | |
| Ellie Sem Clinic, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Clinton Township, MI
- NPI 1730899824
-
- Physical Therapist
- Clinton Township, MI
- NPI 1871696047
-
- Psychologist
- Sterling Heights, MI
- NPI 1538482187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1760938641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49972 TETON PASS",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483153392",
"telephone_number": "586-991-6590",
"fax_number": "586-261-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 AXTELL DR STE 101",
"city": "TROY",
"state": "MI",
"postal_code": "480844400",
"telephone_number": "248-787-0855",
"fax_number": "248-385-1193"
}
],
"practiceLocations": [
{
"address_1": "49972 Teton Pass",
"address_purpose": "LOCATION",
"city": "Shelby Township",
"state": "MI",
"postal_code": "483153392",
"country_code": "US",
"telephone_number": "586-991-6590",
"fax_number": "586-261-5490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "38271 Mound Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483103403",
"country_code": "US",
"telephone_number": "248-817-4593",
"fax_number": "586-978-0243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32901 23 Mile Rd Ste 190",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MI",
"postal_code": "480474064",
"country_code": "US",
"telephone_number": "586-646-0667",
"fax_number": "586-648-7170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDANIEL",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.