Active NPI
Deborah Davila, MSED
- School Psychologist
- Ewing, NJ
National Provider Identifier
1104379346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 292015031
- Practice address
- 22 Running Brook Rd
Ewing, NJ 08638-2010 - Phone
- (609) 954-1266
- Fax
- (609) 882-2835
- NPI assigned
- Jul 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 292015031 | NY | Primary |
Addresses
Primary practice location
22 Running Brook Rd
Ewing, NJ 08638-2010
Mailing address
22 Running Brook Rd
Ewing, NJ 08638-2010
Phone (609) 954-1266
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
| License | State | Type | Specialty |
|---|---|---|---|
| 292015031 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469232000000",
"number": "1104379346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 RUNNING BROOK RD",
"city": "EWING",
"state": "NJ",
"postal_code": "086382010",
"telephone_number": "609-954-1266",
"fax_number": "609-882-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 RUNNING BROOK RD",
"city": "EWING",
"state": "NJ",
"postal_code": "086382010",
"telephone_number": "609-954-1266",
"fax_number": "609-882-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-23",
"last_updated": "2016-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "292015031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.