NPIMap

Organization Active NPI

Frederick B Davis MD PS

  • Psychoanalyst
  • Seattle, WA
National Provider Identifier
1003149436
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
10139 Issued in WA
Legal business name
FREDERICK B DAVIS MD PS
Practice address
7319 Latona Ave NE
Seattle, WA 98115-5311
Phone
(206) 525-1898
Fax
(206) 729-0564
NPI assigned
Sep 16, 2009
Last updated
Sep 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frederick DavisNPI 1205930294
Title
Psychiatrist
Phone
(206) 525-1898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 102L00000X 10139 WA Primary

Addresses

Primary practice location

7319 Latona Ave NE
Seattle, WA 98115-5311

Mailing address

7319 Latona Ave NE
Seattle, WA 98115-5311
Phone (206) 525-1898

Other identifiers 1

IdentifierTypeStateIssuer
1204700MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1003149436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 LATONA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155311",
            "telephone_number": "206-525-1898",
            "fax_number": "206-729-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 LATONA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155311",
            "telephone_number": "206-525-1898",
            "fax_number": "206-729-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK B DAVIS MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "206-525-1898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "WA",
            "license": "10139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1204700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.