Kimberly M. Daniels, PSY D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002380 Issued in CT

Practice address

682 Prospect Ave
Hartford, CT 06105-4238

Phone

(860) 231-2227

Fax

(860) 231-2227

NPI assigned

Feb 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kimberly M Daniels LLC

  • Psychologist
  • Hartford, CT
  • NPI 1427696202
  NPD Authorized official

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1922074343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054238",
            "telephone_number": "860-231-2227",
            "fax_number": "860-231-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054238",
            "telephone_number": "860-231-2227",
            "fax_number": "860-231-2227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 S Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064573651",
            "country_code": "US",
            "telephone_number": "860-344-6394",
            "fax_number": "860-344-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KIMBERLY",
        "middle_name": "M.",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Damaso
• Shahin Damji
• Jody May Daniel, LPN
• Kristen Daniel
• Jamal Daniels, AGACNP-BC
• Michael Daniels
• Natasha Daniels
• Nora Daniels
• Amy Danner
• Kelly Christine Dansereau

• Psychologist in Hartford, CT
• Providers in Hartford, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.