Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184901969 Individual Practitioner Male Practitioner

Dr. Daniel Wall , PhD, LP

Psychologist • Waterford, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Wall, PhD, LP is a certified Psychologist practicing in Waterford, MI. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Wall delivers high-quality medical care to the local community at 4000 W WALTON BLVD STE B.

Dr. Wall is affiliated with Lifelens Psychological And Counseling Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

4000 W Walton Blvd Ste B

Waterford, MI 483294191

Telephone 2484616266
Fax 2487917905
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Waterford, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -11.0 yrs vs City Avg
City Avg: 26.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Waterford, MI (2669 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
36.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (15 Years) 15 Yrs
Waterford Specialty Average (26.0 Years) 26.0 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
90837 Psychotherapy, 60 minutes
84 11 $215.00 $137.25

Medical Specialties & State Licenses

CMS Verified: 2023-06-07
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301014904

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

Lifelens Psychological And Counseling Services

4000 W Walton Blvd, Waterford, MI 483294191

Phone: 2484616266

Practice Associates & Co-Workers

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

15 Associated Practitioners
Jennifer Macleod

Counselor - Mental Health

NPI 1184187049
Jonathan Hall

Counselor

NPI 1336738921
NPI 1336907971

Licensed Professional Counselor

Jill Hudak , LPC, ATR

Counselor - Mental Health

NPI 1386111631

Licensed Professional Counselor, ATR

Esther Lee , LLC

Counselor - Mental Health

NPI 1417782947
NPI 1558256040

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 07, 2023

Registered at 4000 W WALTON BLVD STE B, WATERFORD, MI 483294191 (Tel: 2484616266)

📍
Updated Business Mailing Address June 07, 2023

Registered at 4000 W WALTON BLVD STE B, WATERFORD, MI 483294191 (Tel: 2488816698)

NPI Profile Active September 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2014

Registered at 7300 DIXIE HWY, SUITE 1000, CLARKSTON, MI 483465103 (Tel: 2483943746)

📍
Updated Business Mailing Address September 03, 2014

Registered at 1371 GLENVIEW DR, WATERFORD, MI 483272978 (Tel: 2488816698)

👤
Provider Name / Credentials Updated September 03, 2014

Recorded as DANIEL WALL, PH.D., LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2014

Psychologist (License #6301014904 in MI)

🟢
Initial NPI Registration & Enumeration November 08, 2011

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: 1184901969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2011
Last Update: June 07, 2023
Sole Proprietor: Yes

Mailing Address

4000 W Walton Blvd Ste B

Waterford, MI 483294191

Phone: 2488816698

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.