Tina Davis, EDD

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

4 Cygnet Cir
Saratoga Springs, NY 12866-6173

Phone

(518) 859-4454

NPI assigned

Jan 1, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1043029358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CYGNET CIR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666173",
            "telephone_number": "518-859-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CYGNET CIR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666173",
            "telephone_number": "518-859-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TINA",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Davies, M.D.
• Miriam Davis-Doern, LCSW-R, CASAC
• Amanda Nichole Davis
• Diane B Davis, LCSW
• Robert Warren Davis, MSW
• Edwin A Davison Jr., M.D.
• Catherine Dawson, MD
• Marie Chin Day, MD
• Denise-Rae De Guzman, LMHC
• Anthony A De Matteo, PT

• Early Intervention Provider Agency in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.