Individual provider Active NPI

Christopher Ryan McDaniel

  • Marriage & Family Therapist
  • Troy, MI
National Provider Identifier
1760938641
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006881 Issued in MI
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

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4101006881MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Oakland Regional Center Inc. Past Accepting new patients
Sollars and Associates PastSince Apr 28, 2025 Accepting new patients
Ellie Sem Clinic, PLLC PastSince Dec 6, 2022 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.

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.

Verify at the official NPI Registry.