Active NPI
Rochelle L Davis, ED D
- Psychologist
- Cambridge, MA
National Provider Identifier
1295790095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4180
- Practice address
- 1105 Massachusetts Ave
Ste 2B
Cambridge, MA 02138 - Phone
- (617) 661-8836
- Fax
- (617) 661-9677
- NPI assigned
- Apr 18, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4180 | MA | Primary |
Addresses
Primary practice location
1105 Massachusetts Ave
Ste 2B
Cambridge, MA 02138
Mailing address
1105 Massachusetts Ave
Ste 2B
Cambridge, MA 02138
Phone (617) 661-8836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 12, 2021 through Feb 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4180 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295790095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 MASSACHUSETTS AVE",
"address_2": "STE 2B",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138",
"telephone_number": "617-661-8836",
"fax_number": "617-661-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 MASSACHUSETTS AVE",
"address_2": "STE 2B",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138",
"telephone_number": "617-661-8836",
"fax_number": "617-661-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROCHELLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "ED D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.