Organization Active NPI

Davispsychological & Consulting Services Inc.

  • Clinical Psychologist
  • Toledo, OH
National Provider Identifier
1225444896
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5048 Issued in OH
Legal business name
DAVISPSYCHOLOGICAL & CONSULTING SERVICES INC.
Practice address
3454 Oak Alley CT
Suite 201
Toledo, OH 43606-1306
Phone
(419) 535-6152
Fax
(419) 535-7917
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Kenneth L Davis, PHD
Title
Owner/Psychologist
Phone
(419) 535-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5048 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT
Suite 201
Toledo, OH 43606-1306

Mailing address

3454 Oak Alley CT
Suite 201
Toledo, OH 43606-1307
Phone (419) 535-6152

Other identifiers 1

IdentifierTypeStateIssuer
2343306MedicaidOH

National Provider Directory

National Provider Directory

Locations

3454 Oak Alley Ct
Ste 501
Toledo, OH 43606
Phone (419) 535-6152

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1225444896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "address_2": "SUITE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061307",
            "telephone_number": "419-535-6152",
            "fax_number": "419-535-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "address_2": "SUITE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061306",
            "telephone_number": "419-535-6152",
            "fax_number": "419-535-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISPSYCHOLOGICAL & CONSULTING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "419-535-6152",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.