Active NPI
Daniel D Norris, PSY. D.
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1881815470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS005850L
- Practice address
- 861 E Allegheny Ave
Philadelphia, PA 19134-2401 - Phone
- (215) 302-3600
- Fax
- (215) 329-2369
- NPI assigned
- May 1, 2007
- 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 | PS005850L | PA | Primary |
Addresses
Primary practice location
861 E Allegheny Ave
Philadelphia, PA 19134-2401
Mailing address
727 W Wingohocking St
Philadelphia, PA 19140-1306
Phone (215) 292-3162
Other practice location 1
2940 N 5th St
Philadelphia, PA 19133-2801
Phone (215) 302-3600
Other practice location 2
4417 N 6th St
Philadelphia, PA 19140-2319
Phone (215) 302-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4417 N 6TH St
Philadelphia, PA 19140-2319
Phone (215) 302-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS005850L | PA | MD | Clinical Psychologist |
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1255726659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1881815470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 W WINGOHOCKING ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401306",
"telephone_number": "215-292-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191342401",
"telephone_number": "215-302-3600",
"fax_number": "215-329-2369"
}
],
"practiceLocations": [
{
"address_1": "2940 N 5th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191332801",
"country_code": "US",
"telephone_number": "215-302-3600",
"fax_number": "215-329-2369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4417 N 6th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191402319",
"country_code": "US",
"telephone_number": "215-302-3600",
"fax_number": "215-329-2369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORRIS",
"first_name": "DANIEL",
"middle_name": "D",
"credential": "PSY. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS005850L",
"primary": true
}
],
"identifiers": [],
"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 Feb 3, 2025; 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.