Individual provider Active NPI

Terrell M McDaniel, PHD

  • Clinical Psychologist
  • Hendersonville, TN
National Provider Identifier
1841231503
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1191 Issued in TN
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522001089 TN Practitioner - Clinical Psychologist 8527249184 Reassigns benefits to 1 organization

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
Hughes McDaniel and Associates PLCGroup PAC ID 9133195936, 3 clinicians

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

LicenseStateTypeSpecialty
P1191TNMDClinical Psychologist
1191TNMDPhysician 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.

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

Verify at the official NPI Registry.