Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUSAN HOLMES MCDANIEL PHD
NPI 1003874207
Psychologist in Rochester, NY

Active since May 04, 2006PECOS Enrolled
777 S CLINTON AVE, ROCHESTER, NY 14620(585) 279-4820(585) 442-8319 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025, Jul 3, 2023 (3 updates tracked since 2023).

About Dr. Susan Holmes Mcdaniel Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN HOLMES MCDANIEL PHD (NPI 1003874207) is an individual psychologist in Rochester, New York, licensed in New York (6699) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003874207
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN HOLMES MCDANIELCredential: PHD
Location Address777 S CLINTON AVERochester, NY 14620-1401
Mailing Address777 S Clinton AveRochester, NY 14620-1401 · (585) 279-4820 · Fax (585) 442-8319
Fax(585) 442-8319
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPI 1003874207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NY · 6699 Licensed in NY · 0006699
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0006699 (NY)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 0006699 (NY)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
777 S CLINTON AVE, Rochester, NY 14620

Other Identifiers 3

OtherP010006699NY · Blue Choice
Other711384NY · Aetna
OtherMD431JNY · Preferred Care

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan Holmes Mcdaniel Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
777 S CLINTON AVE
ROCHESTER, NY 14620
Family Medicine
777 S CLINTON AVE
ROCHESTER, NY 14620
Nurse Practitioner (Family)
777 S CLINTON AVE
ROCHESTER, NY 14620
Family Medicine
777 S CLINTON AVE
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
777 S CLINTON AVE
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
777 S CLINTON AVE
ROCHESTER, NY 14620
Family Medicine
777 S CLINTON AVE
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
777 S CLINTON AVE
ROCHESTER, NY 14620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Mcdaniel's NPI number?

The NPI number for Susan Mcdaniel is 1003874207. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Susan Mcdaniel located?

Susan Mcdaniel practices at 777 S Clinton Ave, Rochester, NY 14620. The listed phone number is (585) 279-4820.

What is Susan Mcdaniel's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Mcdaniel enrolled in Medicare?

Yes. Susan Mcdaniel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Mcdaniel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.