Darice Nicole Davis, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008359 Issued in VA

Practice address

7639 Hull Street Rd Ste 105
North Chesterfield, VA 23235-6438

Phone

(804) 938-1519

NPI assigned

Jan 12, 2024

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

Other names 1

• Darice Nicole Etienne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1093586646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7639 HULL STREET RD STE 105",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356438",
            "telephone_number": "804-938-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7639 HULL STREET RD STE 105",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356438",
            "telephone_number": "804-938-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARICE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARICE",
            "last_name": "ETIENNE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dare to Change
• Natalie E Datien, DDS
• Tejwant Singh Datta, M.D.
• Noah David, PA-C
• Jasmine Detwaunna Davis-Goode, LCSW
• Kia Marie Davis, PHARMD
• Leslie Lynt Davis, MD
• Lois Ann Davis, MD
• Matthew Davis
• Trina Davis

• Clinical Psychologist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.