Active NPI
Jamie Dee Davis, PH.D.
- Clinical Psychologist
- Denton, MD
National Provider Identifier
1265766554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04375
- Practice address
- 1702 Cattail Commons Way
Denton, MD 21629-3039 - Phone
- (443) 448-4146
- NPI assigned
- Sep 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 04375 | MD | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 04375 | MD | |
| Clinical Psychologist | 103TC0700X | 04375 | MD | Primary |
| Family Psychologist | 103TF0000X | 04375 | MD | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 04375 | MD | |
| Group Psychotherapy Psychologist | 103TP2701X | 04375 | MD |
Addresses
Primary practice location
1702 Cattail Commons Way
Denton, MD 21629-3039
Mailing address
1702 Cattail Commons Way
Denton, MD 21629-3039
Phone (443) 448-4146
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 |
|---|---|---|---|
| 04375 | MD | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253404800000",
"number": "1265766554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 CATTAIL COMMONS WAY",
"city": "DENTON",
"state": "MD",
"postal_code": "216293039",
"telephone_number": "443-448-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 CATTAIL COMMONS WAY",
"city": "DENTON",
"state": "MD",
"postal_code": "216293039",
"telephone_number": "443-448-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMIE",
"middle_name": "DEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-20",
"last_updated": "2009-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04375",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MD",
"license": "04375",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04375",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MD",
"license": "04375",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MD",
"license": "04375",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MD",
"license": "04375",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.