Robert W Davis Jr., PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

805 Issued in LA

Practice address

3340 Severn Ave
Suite 206
Metairie, LA 70002-7407

Phone

(504) 889-1448

Fax

(504) 885-8752

NPI assigned

Aug 8, 2006

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jefferson Psychiatric Associates LLCGroup PAC ID 9234361213, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/05a97b88-f719-405f-abbb-125ac71b7cee/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson Psychiatric Associates LLC

  • Psychiatry Physician
  • Metairie, LA
  • NPI 1053558890

  Clinical

  Medicare reassignment Care Compare group NPD
• Robert W Davis MD PC

  • Specialist
  • Gretna, LA
  • NPI 1376741843
  NPD (past) Authorized official
• Jefferson Psychiatric Associates

  • Psychiatry Physician
  • Metairie, LA
  • NPI 1114138856

  Clinical

  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1114937638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SEVERN AVE",
            "address_2": "SUITE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027407",
            "telephone_number": "504-889-1448",
            "fax_number": "504-885-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 SEVERN AVE",
            "address_2": "SUITE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027407",
            "telephone_number": "504-889-1448",
            "fax_number": "504-885-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544051",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Makayla Davis I
• Michael Prentice Davis, MD
• Michelle Mireille Davis, M.D.
• Nancy Lynn Davis, RAC
• Rayanda Davis
• Tanesha Ann Davis
• Ty Anthony Davis
• Chamika Day
• Dae'Jenea Day
• Darrianjae Day

• Clinical Psychologist in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.