Active NPI
Brian Daly, LPC
- Preferred Provider Organization
- Philadelphia, PA
National Provider Identifier
1780057166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- PC005544
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000059400035 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI 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.