Patrick Davis, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

236 Issued in MT

Practice address

300 W Broadway St
Suite 2
Missoula, MT 59802-4126

Phone

(406) 899-0522

Fax

(406) 543-1290

NPI assigned

Jul 25, 2006

Last updated

Sep 24, 2011By 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

Enrolled in MT

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Davis Consultants PCGroup PAC ID 6103994017, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Davis Consultants, PC

  • Clinical Psychologist
  • Missoula, MT
  • NPI 1437309424
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1194748699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9433",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598079433",
            "telephone_number": "406-899-0522",
            "fax_number": "406-543-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY ST",
            "address_2": "SUITE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024126",
            "telephone_number": "406-899-0522",
            "fax_number": "406-543-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PATRICK",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezra Cole Davis
• Heidi Davis, LCPC
• Joan Elizabeth Davis, MD
• Lindsay Davis, LCSW
• Michelle Antoinette Davis, LCSW
• Troy A Davis, PA-C
• Wayne L. Davis, M.D.
• Blair Davison
• Abigail Dawson, M.S. BCBA
• Jacqueline Day, PHD

• Clinical Psychologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.