Mark Allen Davis, PSYD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

401 W Civic Center Dr # 700
Santa Ana, CA 92701-4515

Phone

(714) 480-6767

Fax

(714) 568-4362

NPI assigned

Sep 26, 2006

Last updated

Jun 25, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFCABD

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.

• County of Orange

  dba AMHS Crisis Stabilization Unit

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1598025793
  NPD (past)
• HCA BH LPS MHS

  • Case Management Agency
  • Santa Ana, CA
  • NPI 1689766800
  NPD (past)
• Health Care Agency

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1801065503
  NPD (past)
• Southland Integrated Services, Inc.

  dba Integrated Community Services - Santa Ana

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1134636889
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1134220643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST # 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013640",
            "telephone_number": "147-480-6767",
            "fax_number": "714-568-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W CIVIC CENTER DR # 700",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014515",
            "telephone_number": "714-480-6767",
            "fax_number": "714-568-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Davis
• Jennifer Lynn Davis, RN
• Kaitlyn Davis
• Kathleen Anne Davis, RN; NP
• Logan Myles Davis
• Michael Davis
• Michelle R Davis, PA-C
• William F Davis, MD
• Blaire Davison
• Glenda Davison, PH.D

• Mental Health Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.