Active NPI
Debra Lynne Davis, PH.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1245559152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1508
- Practice address
- 2440 M St NW
Suite 429
Washington, DC 20037-1404 - Phone
- (410) 530-5216
- Fax
- (301) 345-4530
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 04611 | MD | |
| Clinical Psychologist | 103TC0700X | PSY1508 | DC | Primary |
Addresses
Primary practice location
2440 M St NW
Suite 429
Washington, DC 20037-1404
Mailing address
2440 M St NW
Suite 429
Washington, DC 20037-1404
Phone (410) 530-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1508 | DC | MD | Clinical Psychologist |
| 04611 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1245559152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 M ST NW",
"address_2": "SUITE 429",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371404",
"telephone_number": "410-530-5216",
"fax_number": "301-345-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 M ST NW",
"address_2": "SUITE 429",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371404",
"telephone_number": "410-530-5216",
"fax_number": "301-345-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEBRA",
"middle_name": "LYNNE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04611",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.