Dr. Daniel Bishop

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. DANIEL BISHOP

Practice address

415 Broad St Ste 2
Lake Geneva, WI 53147-1800

Phone

(262) 374-3444

Fax

(844) 247-2735

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Daniel Wayne Bishop, PSY.D

Title

Owner

Phone

(262) 374-3444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1790316347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BROAD ST STE 2",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471800",
            "telephone_number": "262-374-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BROAD ST STE 2",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471800",
            "telephone_number": "262-374-3444",
            "fax_number": "844-247-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANIEL BISHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-374-3444",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.