Organization Active NPI

Davis & Davis, Clinical Psychologists, PC

  • Clinical Psychologist
  • Northport, AL
National Provider Identifier
1215960927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DAVIS & DAVIS, CLINICAL PSYCHOLOGISTS, PC
Practice address
3610 Watermelon Rd
Suite 105
Northport, AL 35473-5170
Phone
(205) 758-7343
Fax
(205) 758-7558
NPI assigned
Jul 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul W Davis, PH.D.NPI 1487674669
Title
President
Phone
(205) 758-7343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3610 Watermelon Rd
Suite 105
Northport, AL 35473-5170

Mailing address

3610 Watermelon Rd
Suite 105
Northport, AL 35473-5170
Phone (205) 758-7343

National Provider Directory

National Provider Directory

Locations

3610 Watermelon Rd
Ste 105
Northport, AL 35473
Phone (205) 758-7343

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215960927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 WATERMELON RD",
            "address_2": "SUITE 105",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735170",
            "telephone_number": "205-758-7343",
            "fax_number": "205-758-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 WATERMELON RD",
            "address_2": "SUITE 105",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735170",
            "telephone_number": "205-758-7343",
            "fax_number": "205-758-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS & DAVIS, CLINICAL PSYCHOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-758-7343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.