Active NPI
Sarah Capri Davenport, PSY.D.
- Clinical Psychologist
- Clarksville, IN
National Provider Identifier
1275866394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042366A
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042366A | IN | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.