Mikyta Danic Daugherty, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003362 Issued in GA

Practice address

1790 Century Blvd NE
Suite B
Atlanta, GA 30345-3322

Phone

(404) 590-8986

NPI assigned

Aug 19, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Shifting Perspectives, Inc

  • Psychologist
  • Atlanta, GA
  • NPI 1154685568
  NPD (past) Authorized official

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1962659185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 DRIFTWOOD TER",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304477",
            "telephone_number": "404-590-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 CENTURY BLVD NE",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453322",
            "telephone_number": "404-590-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "MIKYTA",
        "middle_name": "DANIC",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "003362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108634A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter C. S. Daubermont, M.D.
• Olufunmilayo Daudu
• Allyson Lorraine Daughenbaugh, RPH
• Jason Daugherty
• Michael Andrew Daugherty, MPH
• Kathryn Daunais, PT
• Jane Dausner, L.C.S.W.
• Meridith Long Dautovic, DMD, MS
• Amir Hossein Davarpanahfakhr, MD
• Dave Ou, M.D., P.C.

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.