Active NPI
Michael S Daniel, PHD
- Clinical Neuropsychologist
- Hillsboro, OR
National Provider Identifier
1922194547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1422
- Practice address
- 364 SE 8TH Avenue
Suite 101
Hillsboro, OR 97123 - Phone
- (503) 681-0816
- Fax
- (503) 640-8763
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | 1422 | OR | Primary |
Addresses
Primary practice location
364 SE 8TH Avenue
Suite 101
Hillsboro, OR 97123
Mailing address
364 SE 8TH Avenue
Suite 101
Hillsboro, OR 97123
Phone (503) 681-0816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268665 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1422 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922194547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 SE 8TH AVENUE",
"address_2": "SUITE 101",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "97123",
"telephone_number": "503-681-0816",
"fax_number": "503-640-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 SE 8TH AVENUE",
"address_2": "SUITE 101",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "97123",
"telephone_number": "503-681-0816",
"fax_number": "503-640-8763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OR",
"license": "1422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268665",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.