Organization Active NPI

Brian Daly, LPC

  • Preferred Provider Organization
  • Philadelphia, PA
National Provider Identifier
1780057166
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
PC005544 Issued in PA
Legal business name
BRIAN DALY, LPC
Practice address
407 S 10TH St
Philadelphia, PA 19147-1269
Phone
(215) 983-3686
Fax
(267) 758-2127
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Mr. Brian Patrick Daly, M.ED
Title
Licensed Professional Counselor
Phone
(215) 983-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X PC005544 PA Primary

Addresses

Primary practice location

407 S 10TH St
Philadelphia, PA 19147-1269

Mailing address

407 S 10TH St
Philadelphia, PA 19147-1269
Phone (215) 983-3686

Other identifiers 1

IdentifierTypeStateIssuer
1000059400035MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1780057166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471269",
            "telephone_number": "215-983-3686",
            "fax_number": "267-758-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471269",
            "telephone_number": "215-983-3686",
            "fax_number": "267-758-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN DALY, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "215-983-3686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "PC005544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000059400035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.