Active NPI
Daniel Lee Phalen, PHD
- Psychologist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2720
- Practice address
- 1015 E Broad St Ste 105
Columbus, OH 43205-1378 - Phone
- (614) 372-5535
- Fax
- (614) 372-5536
- NPI assigned
- Feb 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2720 | OH | Primary |
Addresses
Primary practice location
1015 E Broad St Ste 105
Columbus, OH 43205-1378
Mailing address
1015 E Broad St Ste 105
Columbus, OH 43205-1378
Phone (614) 372-5535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0384114 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1015 E Broad St
Suite 105
Columbus, OH 43205-1378
Phone (614) 372-5535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2720 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel L Phalen PHD Inc | Psychologist | Current | Accepting new patients |
Locations
1015 E Broad St
Ste 105
Columbus, OH 43205
Phone (614) 372-5535
181 Granville St
Ste G
Gahanna, OH 43230
Phone (614) 475-7462
348 Granville St
Ste B
Gahanna, OH 43230
Phone (614) 475-7462
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.
-
- Psychologist
- Columbus, OH
- NPI 1801855226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1982872776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 E BROAD ST STE 105",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051378",
"telephone_number": "614-372-5535",
"fax_number": "614-372-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 E BROAD ST STE 105",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051378",
"telephone_number": "614-372-5535",
"fax_number": "614-372-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHALEN",
"first_name": "DANIEL",
"middle_name": "LEE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "2720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0384114",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.