Individual provider Active NPI

Arthur William Davis, LPA-I

  • Clinical Psychologist
  • Beaumont, TX
National Provider Identifier
1295441343
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39709 Issued in TX
Practice address
985 Ih 10 N
Suite 110G
Beaumont, TX 77706-4815
Phone
(409) 203-5345
NPI assigned
Jan 23, 2023
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 39709 TX Primary

Addresses

Primary practice location

985 Ih 10 N
Suite 110G
Beaumont, TX 77706-4815

Mailing address

985 Ih 10 N Ste 110G
Beaumont, TX 77706-4815
Phone (409) 203-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117001700 TX Practitioner - Psychologist Billing Independently 8527588086 Practice locations: Beaumont, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3179 Hickory Ave
Groves, TX 77619-6107

985 Ih 10
Suite 110G
Beaumont, TX 77706-4815
Phone (409) 203-5345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39709TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1295441343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 IH 10 N STE 110G",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064815",
            "telephone_number": "409-203-5345",
            "fax_number": "409-420-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 IH 10 N",
            "address_2": "SUITE 110G",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064815",
            "telephone_number": "409-203-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ARTHUR",
        "middle_name": "WILLIAM",
        "credential": "LPA-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.