NPIMap

Organization Active NPI

Davis Socio-Psychological Services, LLC

  • Clinical Psychologist
  • Lansdowne, PA
National Provider Identifier
1407147309
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-008126-L Issued in PA
Legal business name
DAVIS SOCIO-PSYCHOLOGICAL SERVICES, LLC
Practice address
78 E Stewart Ave
Lansdowne, PA 19050-2032
Phone
(610) 245-3036
Fax
(610) 572-3444
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Tommy Davis, PH.D.NPI 1609983550
Title
President/Psychologiist
Phone
(610) 245-3036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS-008126-L PA Primary

Addresses

Primary practice location

78 E Stewart Ave
Lansdowne, PA 19050-2032

Mailing address

78 E Stewart Ave
Lansdowne, PA 19050-2032
Phone (610) 245-3036

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1407147309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 E STEWART AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502032",
            "telephone_number": "610-245-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 E STEWART AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502032",
            "telephone_number": "610-245-3036",
            "fax_number": "610-572-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS SOCIO-PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIIST",
        "authorized_official_telephone_number": "610-245-3036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-008126-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.