Individual provider Active NPI

Julie Meredith Davis, LP

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1265776629
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014418 Issued in MI
Practice address
5708 Venture CT Ste B
Kalamazoo, MI 49009-2858
Phone
(269) 459-1818
Fax
(269) 365-9951
NPI assigned
Nov 23, 2012
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014418 MI Primary

Addresses

Primary practice location

5708 Venture CT Ste B
Kalamazoo, MI 49009-2858

Mailing address

5708 Venture CT Ste B
Kalamazoo, MI 49009-2858
Phone (269) 459-1818

Other practice location 1

6255 28th St SE Ste 1
Grand Rapids, MI 49546-6966
Phone (269) 459-1818

Other practice location 2

1009 44th St SW Ste 103
Wyoming, MI 49509-4480
Phone (269) 459-1818

Other practice location 3

9559 Middlebelt Rd
Livonia, MI 48150-3009
Phone (269) 459-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000758 MI Practitioner - Clinical Psychologist 6002050762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meredith Psychological and Testing Services LLCGroup PAC ID 6103121702, 2 clinicians

Practice addresses (Care Compare)

5708 Venture CT
Suite B
Kalamazoo, MI 49009-2858
Phone (269) 459-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301014418MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith Psychological and Testing Services, LLC Clinical CurrentSince Jan 10, 2016 Accepting new patients

Locations

6255 28th St SE
Ste 1
Grand Rapids, MI 49546
Phone (269) 459-1818

5700 W Michigan Ave
Ste B
Kalamazoo, MI 49009
Phone (269) 459-1818

5708 Venture Ct
Ste B
Kalamazoo, MI 49009
Phone (269) 459-1818

5985 W Main St
Ste 101
Kalamazoo, MI 49009
Phone (269) 459-1818

9559 Middlebelt Rd
Livonia, MI 48150
Phone (248) 722-4736

1009 44th St SW
Ste 103
Wyoming, MI 49509
Phone (269) 459-1818

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1265776629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 VENTURE CT STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092858",
            "telephone_number": "269-459-1818",
            "fax_number": "269-365-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 VENTURE CT STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092858",
            "telephone_number": "269-459-1818",
            "fax_number": "269-365-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6255 28th St SE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466966",
            "country_code": "US",
            "telephone_number": "269-459-1818",
            "fax_number": "269-365-9951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 44th St SW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495094480",
            "country_code": "US",
            "telephone_number": "269-459-1818",
            "fax_number": "269-365-9951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9559 Middlebelt Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481503009",
            "country_code": "US",
            "telephone_number": "269-459-1818",
            "fax_number": "269-365-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIE",
        "middle_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.