Active NPI
Joseph Anthony Davis, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1295175495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB37618
- Practice address
- 3737 Camino del Rio S
Suite 205
San Diego, CA 92108-4006 - Phone
- (858) 268-3610
- Fax
- (619) 563-4559
- NPI assigned
- Jul 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB37618 | CA | Primary |
Addresses
Primary practice location
3737 Camino del Rio S
Suite 205
San Diego, CA 92108-4006
Mailing address
3737 Camino del Rio S
Suite 205
San Diego, CA 92108-4006
Phone (858) 268-3610
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB37618 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucks Psychology, Inc | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1295175495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 CAMINO DEL RIO S",
"address_2": "SUITE 205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084006",
"telephone_number": "858-268-3610",
"fax_number": "619-563-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 CAMINO DEL RIO S",
"address_2": "SUITE 205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084006",
"telephone_number": "858-268-3610",
"fax_number": "619-563-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB37618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.