Active NPI
Adrian David Daisley, BCBA
- Cognitive & Behavioral Psychologist
- Orlando, FL
National Provider Identifier
1932371978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 692682796
- Practice address
- 1531 Plantation Pointe Dr
Orlando, FL 32824-4855 - Phone
- (407) 721-7755
- Fax
- (407) 704-1144
- NPI assigned
- Mar 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 692682796 | FL | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 692682798 | FL |
Addresses
Primary practice location
1531 Plantation Pointe Dr
Orlando, FL 32824-4855
Mailing address
1531 Plantation Pointe Dr
Orlando, FL 32824-4855
Phone (407) 721-7755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 692682798 | Medicaid | FL | |
| 692682796 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692682796 | FL | MD | Cognitive & Behavioral Psychologist |
| 692682798 | FL | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Outcomes, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1235451741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1932371978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 PLANTATION POINTE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328244855",
"telephone_number": "407-721-7755",
"fax_number": "407-704-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 PLANTATION POINTE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328244855",
"telephone_number": "407-721-7755",
"fax_number": "407-704-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAISLEY",
"first_name": "ADRIAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "692682796",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "692682798",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692682798",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692682796",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.