Michael Davison, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005382 Issued in IL

Legal business name

MICHAEL DAVISON, PHD

Practice address

3295 N Arlington Heights Rd
Suite 103
Arlington Heights, IL 60004-1565

Phone

(847) 470-3257

NPI assigned

Aug 21, 2008

Last updated

Aug 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Davison, PHDNPI 1427204296

Title

Owner

Phone

(847) 897-5995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael R Davison, PHD

  • Psychologist
  • Arlington Heights, IL
  • NPI 1427204296
  NPD (past) Authorized official

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1215184106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 103",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041565",
            "telephone_number": "847-470-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 103",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041565",
            "telephone_number": "847-470-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DAVISON, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-897-5995",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI#",
            "identifier": "1427204296",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjuana Meza, LCPC
• MGB Services, Inc.
• Nazam Mian
• Carrie Marie Mianulli, DT
• Renamarie Miracle Miceli
• Michael F. Wilson, M.D., LLC
• Michael J Louise, DC, LTD
• Raman Michael, MD
• Susan F. Michaelis, RPH
• Elizabeth Teloh Michalowicz, OTR/L

• Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.