Charles R Davenport PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7978 Issued in FL

Legal business name

CHARLES R DAVENPORT PSYD LLC

Practice address

1608 Oak St
Sarasota, FL 34236-7517

Phone

(941) 321-1971

NPI assigned

Oct 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Charles Robert Davenport, PSY.D.NPI 1174705610

Title

Managing Member

Phone

(941) 321-1971

Specialties & licenses 3

Addresses

Other names 1

• Davenport Psychology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Robert Davenport, PSY.D

  • Clinical Psychologist
  • Venice, FL
  • NPI 1174705610
  NPD Authorized official

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1063797504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 OAK ST # 1608",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367517",
            "telephone_number": "941-321-1971",
            "fax_number": "941-866-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 OAK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367517",
            "telephone_number": "941-321-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R DAVENPORT PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-16",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "941-321-1971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7978",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY7978",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY7978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davenport Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles a. D'Amico, D.D.S., P.a.
• Charles Davenport MD PA
• Charles E Liott D C P a
• Charles Elwell III, D.M.D., P.a.
• Charles Loewe MD PA
• Charles W. Schmidt, DDS, PA
• Cyrina M Chase
• Ginger Robin Chasolen, DDS
• Howard M. Chasolen, DMD
• Chat and Munch, Inc

• Clinical Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.