Individual provider Active NPI

Adrian David Daisley, BCBA

  • Cognitive & Behavioral Psychologist
  • Orlando, FL
National Provider Identifier
1932371978
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
692682796 Issued in FL
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

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
692682798MedicaidFL
692682796MedicaidFL

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

LicenseStateTypeSpecialty
692682796FLMDCognitive & Behavioral Psychologist
692682798FLMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.