Vanessa L Davidson, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7096 Issued in OH

Practice address

201 Reading Rd
Mason, OH 45040-1666

Phone

(513) 398-2551

Fax

(513) 459-7300

NPI assigned

Feb 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Mental Health Centers of Warren County, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, OH
  • NPI 1740278381
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1306015391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 KINGSVIEW DR",
            "address_2": "SUITE 400",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369562",
            "telephone_number": "513-228-7854",
            "fax_number": "513-228-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401666",
            "telephone_number": "513-398-2551",
            "fax_number": "513-459-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7096",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Dalton Jr.
• Anita Das, DDS
• Ashok Das, DDS
• David D. Aichholz MD LLC
• Naomi Davidson
• Gloria Jean Davis
• Gregory P. Davis, D.D.S.
• Jessica Dayton, CNP
• Jensen De Nijs, RRT
• Deaconess Long Term Care of Ohio, Inc.

• Clinical Psychologist in Mason, OH
• Providers in Mason, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.