Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093077398 Individual Practitioner Male Practitioner

Dr. Daniel Larson , EdD

Psychologist • Davenport, IA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Larson, EdD is a certified Psychologist practicing in Davenport, IA. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Larson delivers high-quality medical care to the local community at 4455 E 56TH ST.

Dr. Larson is affiliated with Genesis Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4455 E 56th St

Davenport, IA 528072995

Telephone 5633552577
Fax 5633554015
Associated Practice Facility / Clinic
🏢 Genesis Health System Facility NPI 1346220340

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Davenport, IA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +3.0 yrs vs City Avg
City Avg: 27.0 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Davenport, IA (272 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
41.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Larson (30 Years) 30 Yrs
Davenport Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
154 15 $163.00 $94.69

Medical Specialties & State Licenses

CMS Verified: 2021-08-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071.006477

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.

Hospital & Practice Group Affiliations

Genesis Health System

1345 W Central Park Ave, Davenport, IA 528041844

Phone: 5634214400

Genesis Health System

4455 E 56th St, Davenport, IA 528072995

Phone: 5633552577

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Jennifer O'hare-Marker , LISW

Social Worker - Clinical

NPI 1013905892

Licensed Independent Social Worker

Ann Mcdonald , LISW

Social Worker - Clinical

NPI 1104814839

Licensed Independent Social Worker

Cheryl James , LISW

Social Worker - Clinical

NPI 1184612806

Licensed Independent Social Worker

Dr. Steve Kopp , PhD

Counselor - Mental Health

NPI 1205824935

Doctor of Philosophy (Ph.D.)

Dr. Babuji Gandra , MBBS, MD

Psychiatry & Neurology - Psychiatry

NPI 1215184726

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Doctor of Medicine (M.D.)

Kathleen Rogalski Goetz

Social Worker - Clinical

NPI 1245807460

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 10, 2021

Registered at 4455 E 56TH ST, DAVENPORT, IA 528072995 (Tel: 5633552577)

📍
Updated Business Mailing Address July 15, 2021

Registered at 4455 E 56TH ST, DAVENPORT, IA 528072995 (Tel: 5633552577)

NPI Profile Active March 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2014

Registered at 940 W FREMONT ST, GALESBURG, IL 614012558 (Tel: 3096932749)

📍
Updated Business Mailing Address March 08, 2014

Registered at 940 W FREMONT ST, GALESBURG, IL 614012558 (Tel: 3096932749)

👤
Provider Name / Credentials Updated March 08, 2014

Recorded as DANIEL LARSON, ED.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2014

Psychologist (License #071.006477 in IL)

🟢
Initial NPI Registration & Enumeration June 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093077398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2012
Last Update: August 10, 2021
Sole Proprietor: Yes

Mailing Address

4455 E 56th St

Davenport, IA 528072995

Phone: 5633552577

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.