Individual provider Active NPI

Davia Olympia Titus-Thomas

  • Psychiatric/Mental Health Nurse Practitioner
  • Yardley, PA
National Provider Identifier
1184313868
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01470100 Issued in NJ
Practice address
930 Weber Dr
Yardley, PA 19067-4633
Phone
(732) 421-0973
NPI assigned
May 8, 2023
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029303 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01470100 NJ Primary

Addresses

Primary practice location

930 Weber Dr
Yardley, PA 19067-4633

Mailing address

930 Weber Dr
Yardley, PA 19067-4633
Phone (732) 421-0973

Other practice location 1

39 N Clinton Ave
Trenton, NJ 08609-1011
Phone (732) 421-0973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240718000757 NJ Practitioner - Nurse Practitioner 9032655741 Reassigns benefits to 2 organizations
I20250130001101 PA Practitioner - Nurse Practitioner 9032655741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

Practice addresses (Care Compare)

39 N Clinton Ave
Trenton, NJ 08609-1011
Phone (732) 421-0973

930 Weber Dr
Yardley, PA 19067-4633
Phone (732) 421-0973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince Sep 26, 2024 Accepting new patients
Catholic Charities, Diocese of Trenton CurrentSince May 25, 2024 Accepting new patients

Locations

383 W State St
Trenton, NJ 08618
Phone (609) 394-5181

39 N Clinton Ave
Trenton, NJ 08609
Phone (609) 394-9398

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1184313868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WEBER DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674633",
            "telephone_number": "732-421-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WEBER DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674633",
            "telephone_number": "732-421-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 N Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086091011",
            "country_code": "US",
            "telephone_number": "732-421-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITUS-THOMAS",
        "first_name": "DAVIA",
        "middle_name": "OLYMPIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029303",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01470100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.