Patrick Davis, PH.D.
Individual provider Active NPI Clinical Psychologist · Missoula, MT
NPI 1194748699 · NPPES record last updated Sep 24, 2011
Key facts
- NPI
- 1194748699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 236 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
300 W Broadway St
Suite 2
Missoula, MT 59802-4126
Phone (406) 899-0522
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080304000573 | MT | Practitioner - Clinical Psychologist | 4385729110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236 | MT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Consultants, PC | Clinical | Current |
Accepting new patients |
Locations
800 2nd St S
Great Falls, MT 59405
Phone (406) 453-5434
300 W Broadway St
Ste 2
Missoula, MT 59802
Phone (406) 728-2509
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 236 | MT | Yes |
Addresses
Primary practice location
300 W Broadway St
Suite 2
Missoula, MT 59802-4126
Mailing address
PO Box 9433
Missoula, MT 59807-9433
Phone (406) 899-0522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492856 | Medicaid | MT |
Other providers in Missoula, MT
- Ezra Cole Davis
- Heidi Davis
- Joan Elizabeth Davis
- Lindsay Davis
- Michelle Antoinette Davis
- Troy A Davis
- Wayne L. Davis
- Blair Davison
- Abigail Dawson
- Jacqueline Day
All providers in Missoula, MT · Clinical Psychologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.