Individual provider Active NPI

Molly Quinn Daniel, PSY.D.

  • Clinical Psychologist
  • West Des Moines, IA
National Provider Identifier
1952491185
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001090 Issued in IA
Practice address
4401 Westown Pkwy Ste 109
West Des Moines, IA 50266-6721
Phone
(515) 225-6653
NPI assigned
Oct 16, 2006
Last updated
Apr 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001090 IA Primary

Addresses

Primary practice location

4401 Westown Pkwy Ste 109
West Des Moines, IA 50266-6721

Mailing address

4401 Westown Pkwy Ste 109
West Des Moines, IA 50266-6721
Phone (515) 225-6653

Other names 1

  • Molly Quinn Hayes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2010 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Psychological Services, PLC CurrentSince Apr 26, 2020 Accepting new patients
Kavalier & Associates PC Past Accepting new patients

Locations

4401 Westown Pkwy
Ste 109
West Des Moines, IA 50266
Phone (515) 225-6653

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1952491185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WESTOWN PKWY STE 109",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666721",
            "telephone_number": "515-225-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WESTOWN PKWY STE 109",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666721",
            "telephone_number": "515-225-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MOLLY",
        "middle_name": "QUINN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "HAYES",
            "middle_name": "QUINN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.