TRAVIS JORDAN DANIEL MS
NPI 1134813934
Psychologist in Madison, WI

Active since June 05, 2023PECOS EnrolledAccepts Medicare Assignment
4621 EASTPARK BLVD, MADISON, WI 53718(608) 915-0100 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Dec 9, 2024, Jun 5, 2023 (3 updates tracked since 2023).

About Travis Jordan Daniel Ms NPPES

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

TRAVIS JORDAN DANIEL MS (NPI 1134813934) is an individual psychologist in Madison, Wisconsin, licensed in Wisconsin (5290) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Franklin.

NPPES Registry Identity

NPI1134813934
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTRAVIS JORDAN DANIELCredential: MS
Location Address4621 EASTPARK BLVDMadison, WI 53718-2000
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 5, 2023
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1134813934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 5290
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.
4621 EASTPARK BLVD, Madison, WI 53718

Secondary Practice Location 1

Location 14033 W Rawson AveFranklin, WI 53132-9434 · Phone (414) 517-1254

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Travis Jordan Daniel Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729515754
PECOS Enrollment IDI20250403003199
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Other Providers at the Same Location NPPES 20

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

Genetic Counselor, MS
4621 EASTPARK BLVD
MADISON, WI 53718
Pharmacist
4621 EASTPARK BLVD
MADISON, WI 53718
Speech-Language Pathologist
4621 EASTPARK BLVD
MADISON, WI 53718
Durable Medical Equipment & Medical Supplies
4621 EASTPARK BLVD
MADISON, WI 53718
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4621 EASTPARK BLVD
MADISON, WI 53718
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4621 EASTPARK BLVD
MADISON, WI 53718
Dermatology
4621 EASTPARK BLVD
MADISON, WI 53718
Nurse Practitioner
4621 EASTPARK BLVD
MADISON, WI 53718

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 Travis Daniel's NPI number?

The NPI number for Travis Daniel is 1134813934. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Travis Daniel located?

Travis Daniel practices at 4621 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 915-0100.

What is Travis Daniel's specialty?

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

Is Travis Daniel enrolled in Medicare?

Yes. Travis Daniel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Travis Daniel accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz and Security Health Plan list Travis Daniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Travis Daniel affiliated with any hospitals?

According to CMS data, Travis Daniel is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Travis Daniel was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.