Lara Davis, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9916 Issued in FL

Practice address

505 N Park Ave Ste 201
Winter Park, FL 32789-3268

Phone

(407) 641-1431

NPI assigned

Oct 31, 2017

Sex

Female

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

• Dr. Lara Herman 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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1114439098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N PARK AVE STE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893268",
            "telephone_number": "407-641-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N PARK AVE STE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893268",
            "telephone_number": "407-641-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Hillcrest St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034809",
            "country_code": "US",
            "telephone_number": "407-843-4968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "HERMAN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Waleska NMN Davila
• Amy-Morgan Mycoff Davis, MD
• Haley Davis, APRN, MSN, FNP-BC
• Haskin Aaron Davis, MSW, RCSWI
• Kennedi Davis
• Lorraine K Davis
• Marnie Davis, MA, LMHC, CEDS
• Natalya Olivia Davis, DPT
• Ronald G Davis, MD
• Sheila Anita Davis, ED.D, LMHC, NCC

• Clinical Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.