Dajavon Davis-Phillips, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

27.001891 Issued in CT

Practice address

1080 Elm St Ste 101
Rocky Hill, CT 06067-1844

Phone

(860) 750-5097

NPI assigned

Apr 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dajavon.davisphillips@chcict.eclinicaldirectplus.com

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.

• Assured Peaceful Solutions Counseling LLC

  • Marriage & Family Therapist
  • Rocky Hill, CT
  • NPI 1326550104
  NPD Authorized official
• 2Assureus

  • Marriage & Family Therapist
  • Hartford, CT
  • NPI 1942965090
  NPD

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1114450467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 ELM ST STE 101",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671844",
            "telephone_number": "860-750-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 ELM ST STE 101",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671844",
            "telephone_number": "860-750-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-PHILLIPS",
        "first_name": "DAJAVON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "27.001891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Farooq Dada, M.D.
• Amanda Beth Daigle
• Khyati Dalal, FNP-C
• Michael Dalena, P.T.A.
• Chad Daniel, M.D.
• Demetress Latrice Davis, DDS MDS
• Kelly Ann De la Cruz, LMT
• Janice De Leon
• Jessica Decarli, OTR/L
• Ariana Deeley, LICSW

• Marriage & Family Therapist in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.