Active NPI
Patricia Sacca Davies, PHD
- Counseling Psychologist
- Agawan, MA
National Provider Identifier
1275540965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2246
- Practice address
- 46 Suffield St
Suite 4
Agawan, MA 01001-1753 - Phone
- (413) 786-3701
- Fax
- (413) 786-3758
- NPI assigned
- Aug 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2246 | MA | Primary |
Addresses
Primary practice location
46 Suffield St
Suite 4
Agawan, MA 01001-1753
Mailing address
46 Suffield St
Suite 4
Agawan, MA 01001-1753
Phone (413) 786-3701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011498 | Other | VALUE OPTION/CHAMPUS | |
| 0511587 | Medicaid | MA |
Other names 1
- Ms. Patricia Sacca Dombrowski
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 |
|---|---|---|---|
| 2246 | MA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275540965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 SUFFIELD ST",
"address_2": "SUITE 4",
"city": "AGAWAN",
"state": "MA",
"postal_code": "010011753",
"telephone_number": "413-786-3701",
"fax_number": "413-786-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 SUFFIELD ST",
"address_2": "SUITE 4",
"city": "AGAWAN",
"state": "MA",
"postal_code": "010011753",
"telephone_number": "413-786-3701",
"fax_number": "413-786-3758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "PATRICIA",
"middle_name": "SACCA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "2246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION/CHAMPUS",
"identifier": "011498",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0511587",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "DOMBROWSKI",
"middle_name": "SACCA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.