Individual provider Active NPI

Daniel Hulse Davies, PH.D.

  • Clinical Psychologist
  • Folsom, CA
National Provider Identifier
1407631583
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34330 Issued in CA
Practice address
850 Iron Point Rd
Folsom, CA 95630-9009
Phone
(916) 337-3294
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY34330 CA Primary

Addresses

Primary practice location

850 Iron Point Rd
Folsom, CA 95630-9009

Mailing address

121 Larkin Cir
Folsom, CA 95630-3230
Phone (916) 337-3294

Other practice location 1

1030 Sir Francis Drake Blvd
Kentfield, CA 94904-1411
Phone (916) 337-3294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20250602002255 CA Practitioner - Clinical Psychologist 9537678552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Twain Health Care DistrictGroup PAC ID 7810327657, 17 clinicians

Practice addresses (Care Compare)

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 772-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY34330CAMDClinical Psychologist
34330CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Health Care District CurrentSince Mar 19, 2025 Accepting new patients
Mark Twain Medical Center PastSince Mar 19, 2025 Accepting new patients

Locations

51 Wellness Way
Valley Springs, CA 95252
Phone (209) 772-7070

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1407631583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LARKIN CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303230",
            "telephone_number": "916-337-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309009",
            "telephone_number": "916-337-3294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Sir Francis Drake Blvd",
            "address_purpose": "LOCATION",
            "city": "Kentfield",
            "state": "CA",
            "postal_code": "949041411",
            "country_code": "US",
            "telephone_number": "916-337-3294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "DANIEL",
        "middle_name": "HULSE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.