✓ Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation (103TR0400X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

DANVANILLA Q BARNES, MD (NPI #1972202141)

Psychologist, Rehabilitation • CLEWISTON, FL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972202141
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103TR0400X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation
Box 32 Service Location & ZIP+4
400 S BERNER RD # 33440, CLEWISTON, FL, 33440-3408
✓ 9-Digit EDI 837 ZIP+4 (33440-3408)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972202141 (DANVANILLA Q BARNES, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972202141 (NPI-1 Individual Practitioner)
Provider / Legal NameDANVANILLA Q BARNES, MD
Plain-English SpecialtyLicensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation
NUCC Code: 103TR0400X (Psychologist, Rehabilitation)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address400 S BERNER RD # 33440, CLEWISTON, FL, 33440-3408
Practice Telephone / FaxTel: (863) 677-5150
Administrative Mailing AddressPO BOX 3117, CLEWISTON, FL, 33440
Enumeration & Last SyncEnumerated: 2023-02-27 | CMS Record Updated: 2023-02-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

400 S BERNER RD # 33440, CLEWISTON, FL, 33440-3408

🗺️ Open in Google Maps 🏥 More Providers in CLEWISTON

Plain-English Taxonomy & CMS Crosswalk (103TR0400X)

What Does Taxonomy Code 103TR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TR0400X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DANVANILLA Q BARNES, MD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
106H00000X — Marriage & Family Therapist
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist
State: N/A | License: Verified | Primary: Secondary
152WP0200X — Optometrist, Pediatrics
Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
State: FL | License: 2036638 | Primary: Secondary
172A00000X — Driver
Plain English: Licensed & Credentialed Driver
State: N/A | License: Verified | Primary: Secondary
173000000X — Legal Medicine
Plain English: Licensed & Credentialed Legal Medicine
State: N/A | License: Verified | Primary: Secondary
174200000X — Meals
Plain English: Licensed & Credentialed Meals
State: N/A | License: Verified | Primary: Secondary
176B00000X — Midwife
Plain English: Licensed & Credentialed Midwife
State: N/A | License: Verified | Primary: Secondary
176P00000X — Funeral Director
Plain English: Licensed & Credentialed Funeral Director
State: FL | License: 573289 | Primary: Secondary
207PS0010X — Emergency Medicine, Sports Medicine
Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
State: FL | License: 573289 | Primary: Secondary
103TR0400X — Psychologist, Rehabilitation
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation
State: N/A | License: Verified | Primary: Yes (Primary)
207QH0002X — Family Medicine, Hospice and Palliative Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: FL | License: 573289 | Primary: Secondary
207V00000X — Obstetrics & Gynecology
Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
State: FL | License: 573289 | Primary: Secondary
207VC0300X — Obstetrics & Gynecology, Complex Family Planning
Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
State: FL | License: 2036638 | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.
Launch Bulk NPI Checker → JSON API Docs
✓ Copied to clipboard