Active NPI
Michelle Davids, D.O.
- Psychiatry Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 262454
- Practice address
- 16 Blossom St
Boston, MA 02114-3104 - Phone
- (617) 855-2032
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | CDR.0000767 | CO | |
| Psychiatry Physician | 2084P0800X | 86173 | GA | |
| Psychiatry Physician | 2084P0800X | OC-0077 | ID | |
| Psychiatry Physician | 2084P0800X | DO.2300 | AL | |
| Psychiatry Physician | 2084P0800X | 16703 | ND | |
| Psychiatry Physician | 2084P0800X | 2223 | NE | |
| Psychiatry Physician | 2084P0800X | CL0093 | NV | |
| Psychiatry Physician | 2084P0800X | 036153505 | IL | |
| Psychiatry Physician | 2084P0800X | OP61085590 | WA | |
| Psychiatry Physician | 2084P0800X | 127-321 | WI | |
| Psychiatry Physician | 2084P0800X | 4123 | TN | |
| Psychiatry Physician | 2084P0800X | 008711 | AZ | |
| Psychiatry Physician | 2084P0800X | 67895 | MN | |
| Psychiatry Physician | 2084P0800X | 27897 | MS | |
| Psychiatry Physician | 2084P0800X | 262454 | MA | Primary |
Addresses
Primary practice location
16 Blossom St
Boston, MA 02114-3104
Mailing address
16 Blossom St
Boston, MA 02114-3104
Phone (617) 855-2032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
Hospital & facility affiliations
- Broadlawns Medical Center
- Unitypoint Health - Des Moines Iowa Methodist Medi
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.61 of 100
- Quality
- 75.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.2300 | AL | MD | Psychiatry Physician |
| 008711 | AZ | MD | Psychiatry Physician |
| CDR.0000767 | CO | MD | Psychiatry Physician |
| 86173 | GA | MD | Psychiatry Physician |
| OC-0077 | ID | MD | Psychiatry Physician |
| 036153505 | IL | MD | Psychiatry Physician |
| 67895 | MN | MD | Psychiatry Physician |
| 27897 | MS | MD | Psychiatry Physician |
| 16703 | ND | MD | Psychiatry Physician |
| CL0093 | NV | MD | Psychiatry Physician |
| OP61085590 | WA | MD | Psychiatry Physician |
| 127-321 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients |
Locations
1801 Hickman Rd
Bldg First
Des Moines, IA 50314
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
Interoperability endpoints
- davids.michelle@cynchealthdsm.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1215215637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BLOSSOM ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143104",
"telephone_number": "617-855-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BLOSSOM ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143104",
"telephone_number": "617-855-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDS",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "CDR.0000767",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "86173",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "OC-0077",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "DO.2300",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "16703",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "2223",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "CL0093",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036153505",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP61085590",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "127-321",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "4123",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "008711",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "67895",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "27897",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "262454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.