Individual provider Active NPI

Casey Leann Davis, PSY.D., LCP

  • Clinical Psychologist
  • Purcellville, VA
National Provider Identifier
1013305747
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005138 Issued in VA
Practice address
201 N Maple Ave Unit 200
Purcellville, VA 20132-6102
Phone
(703) 662-5899
Fax
(540) 579-2880
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810005138 VA Primary

Addresses

Primary practice location

201 N Maple Ave Unit 200
Purcellville, VA 20132-6102

Mailing address

201 N Maple Ave Unit 200
Purcellville, VA 20132-6102
Phone (703) 662-5899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810005138VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions, LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

201 N Maple Ave
Unit 200
Purcellville, VA 20132
Phone (703) 662-5899

Interoperability endpoints

  • Direct secure messaging: granatogroup.caseydavis@144557.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1013305747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAPLE AVE UNIT 200",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326102",
            "telephone_number": "703-662-5899",
            "fax_number": "540-579-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAPLE AVE UNIT 200",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326102",
            "telephone_number": "703-662-5899",
            "fax_number": "540-579-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CASEY",
        "middle_name": "LEANN",
        "credential": "PSY.D., LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.