Active NPI
Terrell M McDaniel, PHD
- Clinical Psychologist
- Hendersonville, TN
National Provider Identifier
1841231503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P1191
- Practice address
- 131 Sanders Ferry Rd Ste 302
Hendersonville, TN 37075-3662 - Phone
- (615) 822-1222
- Fax
- (615) 822-8306
- NPI assigned
- Jun 10, 2006
- Last updated
- Jul 18, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P1191 | TN | Primary |
Addresses
Primary practice location
131 Sanders Ferry Rd Ste 302
Hendersonville, TN 37075-3662
Mailing address
PO Box 1155
Hendersonville, TN 37077-1155
Phone (615) 822-3041
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CHA131@COMCAST.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 Sanders Ferry Rd
Suite 203
Hendersonville, TN 37075-3662
Phone (615) 822-1222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1191 | TN | MD | Clinical Psychologist |
| 1191 | TN | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Child & Adolescent Psychologist
- Hendersonville, TN
- NPI 1508967423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1841231503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1155",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370771155",
"telephone_number": "615-822-3041",
"fax_number": "615-822-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SANDERS FERRY RD STE 302",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753662",
"telephone_number": "615-822-1222",
"fax_number": "615-822-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "TERRELL",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P1191",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CHA131@COMCAST.NET",
"affiliation": "N",
"endpointDescription": "SECURE EMAIL",
"address_1": "131 Sanders Ferry Rd Ste 302",
"city": "Hendersonville",
"state": "TN",
"country_code": "US",
"postal_code": "370753662",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.