Active NPI
Christine Marie Daly, LICSW
- Mental Health Counselor
- Hyannis, MA
National Provider Identifier
1770530610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 111252
- Practice address
- 1019 Route 132
Hyannis, MA 02601 - Phone
- (508) 778-1839
- Fax
- (508) 775-1245
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 111252 | MA | Primary |
Addresses
Primary practice location
1019 Route 132
Hyannis, MA 02601
Mailing address
8 Monterey Lane
So Yarmouth, MA 02664
Phone (508) 760-3969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1304887 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111252 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1770530610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MONTEREY LANE",
"city": "SO YARMOUTH",
"state": "MA",
"postal_code": "02664",
"telephone_number": "508-760-3969",
"fax_number": "508-775-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 ROUTE 132",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-778-1839",
"fax_number": "508-775-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "111252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1304887",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.