Individual provider Active NPI

Daniel P. Davis, PH.D.

  • Psychologist
  • Madison, WI
National Provider Identifier
1225342280
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2806-57 Issued in WI
Practice address
7601 Ganser Way
2ND Floor Suite
Madison, WI 53719-2074
Phone
(608) 609-5277
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2806-57 WI Primary

Addresses

Primary practice location

7601 Ganser Way
2ND Floor Suite
Madison, WI 53719-2074

Mailing address

7601 Ganser Way
2ND Floor Suite
Madison, WI 53719-2074
Phone (608) 609-5277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20140313001233 WI Practitioner - Clinical Psychologist 3072743038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Psychology Center S CGroup PAC ID 6507857463, 27 clinicians

Practice addresses (Care Compare)

7617 Mineral Point Rd
Suite 300
Madison, WI 53717-1623
Phone (608) 833-9290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Psychology Center S C CurrentSince Feb 3, 2014 Accepting new patients

Locations

7617 Mineral Point Rd
Ste 300
Madison, WI 53717
Phone (608) 833-9290

7617 Mineral Point Rd
Madison, WI 53717
Phone (608) 833-9290

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1225342280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 GANSER WAY",
            "address_2": "2ND FLOOR SUITE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192074",
            "telephone_number": "608-609-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 GANSER WAY",
            "address_2": "2ND FLOOR SUITE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192074",
            "telephone_number": "608-609-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DANIEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2806-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.