DANIEL L. WYATT (NPI# 1629084967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629084967 |
| Entity Type | Individual |
| Full Name | DANIEL L. WYATT |
| Credential | MD |
| Practice Address |
49 Harry Kemp Way Provincetown MA 02657 |
| Mailing Address |
Po Box 1413 Wellfleet MA 02667 |
| Practice Telephone | 5084879395 |
| Practice Fax Number | 5084873285 |
| Mailing Telephone | 5082400208 |
| Mailing Fax Number | 5082400499 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
77486 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302292 | Daniel Adam Wyatt | Pharmacist | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-08-31 |
| Street Address |
49 HARRY KEMP WAY |
| City | PROVINCETOWN |
| State | MA |
| Zip Code | 02657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170848 | Andrew K Palmer | Orthopaedic Surgery | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2005-08-10 |
| 1679134902 | Krishtina Adhikari | Registered Nurse | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2019-06-26 |
| 1487137360 | Mahrya Katrinka Hart | Dental Hygienist | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2018-09-07 |
| 1356824205 | Maggie Rose Fogg | Dental Hygienist | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2018-09-06 |
| 1154801314 | Harbor Health Services, Inc. | Dentist | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2018-08-17 |
| 1225457567 | Marwa Elleboudy | Dentist | 49 Harry Kemp Way, Outer Cape Health Services, Inc., Provincetown, MA 02657 | 2014-04-15 |
| 1548685787 | Heather Duncan | Physician Assistant | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2014-02-25 |
| 1669895603 | Paul J Fasano | Dentist | 49 Harry Kemp Way, Outer Cape Health Services, Inc., Provincetown, MA 02657 | 2014-01-28 |
| 1376884619 | Outer Cape Health Services Inc | Pharmacy | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2013-03-12 |
| 1437494283 | Alexandra Broton Boyle | Registered Nurse | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365322 | Seashore Pointe Rehab Center LLC | Skilled Nursing Facility | Seashore Pointe Rehab Center LLC, 100 Alden Street, Provincetown, MA 02657 | 2019-09-18 |
| 1770685190 | Janet R Whelan | Internal Medicine | Outer Cape Health Services, 49 Harry Kemp Way, Provincetown, MA 02657 | 2006-09-05 |
| 1699712364 | John B Livingstone | Psychiatry & Neurology | 522 Commercial Road Street, Provincetown, MA 02657 | 2006-06-01 |
| 1730176561 | Seashore Point-deaconess, Inc. | Skilled Nursing Facility | 100 Alden St, Provincetown, MA 02657 | 2005-10-06 |
| 1366415713 | Mark Edward Schiffman | Optometrist | 120 Bradford St., Pob 212, Provincetown, MA 02657-0212 | 2006-02-08 |
| 1104307412 | Harvey Taylor Wilson | Counselor | 21 Bayberry Ave, Provincetown, MA 02657-1214 | 2018-08-24 |
| 1477918993 | Marilyn Massad | Massage Therapist | 5 Meadow Rd Unit 2, Provincetown, MA 02657-1256 | 2015-12-29 |
| 1699929901 | The Stop & Shop Supermarket Company LLC | Durable Medical Equipment & Medical Supplies | 56 Shank Painter Rd, Provincetown, MA 02657-1342 | 2008-11-13 |
| 1083653646 | Brian O'malley | Internal Medicine | 30 Shank Painter Rd, Provincetown, MA 02657-1342 | 2006-06-06 |
| 1215984190 | Brian O'malley & Wilsa J. Ryder, Ptr | Internal Medicine | 16 Shank Painter Rd, Provincetown, MA 02657-1343 | 2006-05-27 |
| Find all providers in zip 02657 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
| City | PROVINCETOWN |
| Zip Code | 02657 |
Please comment or provide details below to improve the information on DANIEL L. WYATT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.