Beth Breece Davis, PHD

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

0810004027 Issued in VA

Practice address

13800 Coppermine Rd
Suite 183
Herndon, VA 20171-6163

Phone

(619) 540-3235

NPI assigned

Feb 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Peak Performance Neurofeedback, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Herndon, VA
  • NPI 1275913436
  NPD (past) Authorized official

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1245206028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 COPPERMINE RD",
            "address_2": "SUITE 183",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716163",
            "telephone_number": "619-540-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 COPPERMINE RD",
            "address_2": "SUITE 183",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716163",
            "telephone_number": "619-540-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BETH",
        "middle_name": "BREECE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "VA",
            "license": "0810004027",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Daniels
• Jada Danowsky
• Adela Mitchell Dart, SLP
• Daniel Francis Datorre, MD
• Eryn David, RD
• Emily Rose Davis, LMT
• Julie Canniffe Davis, LCAS, CSAC, CADC II
• Louise Eileen Davis, M.AC, DIPL.AC., L.AC
• Desiree Debutts Farren, CADC, ICADC
• Decena Home Care, LLC

• Health Psychologist in Herndon, VA
• Providers in Herndon, VA by specialty
• Health Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.