Daniel G Davis, PSYD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

135955 Issued in AK

Practice address

634 S Bailey St Ste 104
Palmer, AK 99645-6360

Phone

(907) 746-3337

Fax

(907) 746-3336

NPI assigned

Sep 16, 2011

Last updated

Mar 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 333 Psychological Management

  • Adult Mental Health Clinic/Center
  • Palmer, AK
  • NPI 1851958748
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1376825133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 S BAILEY ST STE 104",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456360",
            "telephone_number": "907-746-3337",
            "fax_number": "907-746-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 S BAILEY ST STE 104",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456360",
            "telephone_number": "907-746-3337",
            "fax_number": "907-746-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AK",
            "license": "135955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Danz, N.D.
• Megan Dauphinee I
• Madison Nicole Dauzart
• David Rudolph, MD
• Olivia Davies
• Daybreak Incorporated (Daybreak)
• Jamie Dean
• Charles Andrew Debach
• Megan Decker
• Amanda Dehart, LMT

• Counseling Psychologist in Palmer, AK
• Providers in Palmer, AK by specialty
• Counseling Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.
• 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.