Individual provider Active NPI

John George Daniels, PH.D.

  • Psychologist
  • Hoboken, NJ
National Provider Identifier
1861546731
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00717700 Issued in NJ
Practice address
4 14TH St # 125
Hoboken, NJ 07030-6791
Phone
(407) 973-5770
NPI assigned
Jan 22, 2007
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5185 FL
Psychologist 103T00000X 35SI00717700 NJ Primary

Addresses

Primary practice location

4 14TH St # 125
Hoboken, NJ 07030-6791

Mailing address

4 14TH St # 125
Hoboken, NJ 07030-6791
Phone (407) 973-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20231025003587 NJ Practitioner - Clinical Psychologist 7113184169 Reassigns benefits to 1 organization
Practice locations: Hoboken, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group NJ PCGroup PAC ID 8224559174, 14 clinicians

Practice addresses (Care Compare)

Hackettstown, NJ 07840
Phone (973) 576-5147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group NJ, PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

830 Morris Tpke
Short Hills, NJ 07078
Phone (973) 302-6040

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1861546731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 14TH ST # 125",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306791",
            "telephone_number": "407-973-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 14TH ST # 125",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306791",
            "telephone_number": "407-973-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JOHN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5185",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00717700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.