Robert C Davis PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301006347 Issued in MI

Legal business name

ROBERT C DAVIS PHD

Practice address

4123 Okemos Rd
Ste 14
Okemos, MI 48864-2818

Phone

(517) 347-7736

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Cathryn S Gallegos

Title

Office Manager

Phone

(517) 483-2461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1386982494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 OKEMOS RD",
            "address_2": "STE 14",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642818",
            "telephone_number": "517-347-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 OKEMOS RD",
            "address_2": "STE 14",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642818",
            "telephone_number": "517-347-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C DAVIS PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CATHRYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-483-2461"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.