Bryce McDavitt, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28942 Issued in CA

Practice address

11712 Moorpark St Ste 204B
Studio City, CA 91604-2158

Phone

(323) 801-8123

NPI assigned

Apr 22, 2017

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryce McDavitt PHD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Studio City, CA
  • NPI 1023547981
  NPD Authorized official

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1225563729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 204B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042158",
            "telephone_number": "323-801-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 204B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042158",
            "telephone_number": "323-801-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDAVITT",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Zakar Mekjian, PHD
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• Clinical Psychologist in Studio City, CA
• Providers in Studio City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.