Jeffrey Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

714 Morse Ave
Placentia, CA 92870-3504

Phone

(714) 572-0175

NPI assigned

Aug 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeffree J Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rite of Passage Adolescent Treatment Centers and Schools, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Placentia, CA
  • NPI 1699250332
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1043987670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LOCUST AVE APT 302",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066256",
            "telephone_number": "562-390-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MORSE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703504",
            "telephone_number": "714-572-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREE J",
            "last_name": "DAVIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dexter Dai, DPT
• Deandre Daniels
• Paul Marc Daniels, BA PSYCHOLOGY
• David a. Thomas MD Inc
• David Alley DDS Apc
• Nyaire Rose Davis
• William R Davis Jr.
• William Eric De Board, DC
• Michael P Decarlo, O.D.
• Michelle R Dehaven, RN

• Mental Health Counselor in Placentia, CA
• Providers in Placentia, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.