Individual provider Active NPI

Sarah Capri Davenport, PSY.D.

  • Clinical Psychologist
  • Clarksville, IN
National Provider Identifier
1275866394
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042366A Issued in IN
Practice address
1329 Applegate Lane
Southern Indiana Rehab Hospital
Clarksville, IN 47129
Phone
(812) 283-7908
NPI assigned
Sep 8, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042366A IN Primary
Clinical Psychologist 103TC0700X 1556 KY

Addresses

Primary practice location

1329 Applegate Lane
Southern Indiana Rehab Hospital
Clarksville, IN 47129

Mailing address

4000 Saddlecreek CT
Louisville, KY 40245-1962
Phone (502) 415-1652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042366AINMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1275866394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SADDLECREEK CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451962",
            "telephone_number": "502-415-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 APPLEGATE LANE",
            "address_2": "SOUTHERN INDIANA REHAB HOSPITAL",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "47129",
            "telephone_number": "812-283-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "SARAH",
        "middle_name": "CAPRI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042366A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.