Individual provider Active NPI

James Braden Davis, ED.S.

  • School Psychologist
  • Saint David, AZ
National Provider Identifier
1124168943
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
338 W Merrill Dr
Saint David, AZ 85630-6147
Phone
(520) 720-5363
Fax
(520) 720-5363
NPI assigned
Feb 8, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X AZ Primary

Addresses

Primary practice location

338 W Merrill Dr
Saint David, AZ 85630-6147

Mailing address

338 W Merrill Dr
Saint David, AZ 85630-6147
Phone (520) 720-5363

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1124168943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 W MERRILL DR",
            "city": "SAINT DAVID",
            "state": "AZ",
            "postal_code": "856306147",
            "telephone_number": "520-720-5363",
            "fax_number": "520-720-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 W MERRILL DR",
            "city": "SAINT DAVID",
            "state": "AZ",
            "postal_code": "856306147",
            "telephone_number": "520-720-5363",
            "fax_number": "520-720-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "BRADEN",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint David, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.