Nicole R Davis, PSY.D., J.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7520 Issued in FL

Practice address

2750 NE 185TH St
Suite 305
Aventura, FL 33180-2876

Phone

(305) 933-5733

Fax

(305) 933-5233

NPI assigned

Aug 14, 2007

Last updated

Dec 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicole Davis White Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole Davis White, PA

  • Clinical Psychologist
  • Aventura, FL
  • NPI 1114163755
  Authorized official Same address or phone
• Synergy Clinical Group

  • Adult Mental Health Clinic/Center
  • Aventura, FL
  • NPI 1013359090
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1396937215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 NE 185TH ST",
            "address_2": "SUITE 305",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802876",
            "telephone_number": "305-933-5733",
            "fax_number": "305-933-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 NE 185TH ST",
            "address_2": "SUITE 305",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802876",
            "telephone_number": "305-933-5733",
            "fax_number": "305-933-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WHITE",
            "middle_name": "DAVIS",
            "prefix": "DR.",
            "credential": "PSY.D., J.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Drachman M D P a
• David T. Potash, OD., P.a. (Style Site)
• Irving B David, MD
• Chareve Davidson, RDH
• Enrique Davila, MD
• Daylily Health
• DDS Meister and Brilliant, PA
• Mariana De Donatis, MS-SLP
• Gwendolyn De Leon, M.D.
• Christian De Villafuerte, APRN

• Psychologist in Aventura, FL
• Providers in Aventura, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.