DR. KRISTIN L DALEY PHD
NPI 1558660175
Psychologist in Charlotte, NC

Active since March 22, 2011Opted out of Medicare · through Nov 13, 2027
1515 MOCKINGBIRD LN STE 580, CHARLOTTE, NC 28209(704) 910-8381(704) 981-8282 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kristin L Daley Phd NPPES

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

DR. KRISTIN L DALEY PHD (NPI 1558660175) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (4239) and active in the NPI registry since March 2011. She has opted out of Medicare through November 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558660175
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KRISTIN L DALEYCredential: PHD
Location Address1515 MOCKINGBIRD LN STE 580Charlotte, NC 28209
Mailing Address1515 Mockingbird Ln Ste 580Charlotte, NC 28209-1171 · (704) 910-8381 · Fax (704) 981-8282
Fax(704) 981-8282
Sole ProprietorNo
Enumeration DateMarch 22, 2011
Last NPPES UpdateAugust 29, 2019
✔ NPI 1558660175 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 NC · 4239
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 ListedSleep Specialist, PhDTaxonomy 173F00000X
1515 MOCKINGBIRD LN STE 580, Charlotte, NC 28209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kristin L Daley Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2019 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2019
Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209

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 Kristin Daley's NPI number?

The NPI number for Kristin Daley is 1558660175. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Kristin Daley located?

Kristin Daley practices at 1515 Mockingbird Ln Ste 580, Charlotte, NC 28209. The listed phone number is (704) 910-8381.

What is Kristin Daley's specialty?

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

Is Kristin Daley enrolled in Medicare?

No. Kristin Daley has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kristin Daley was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.