Michael R Davison, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005382 Issued in IL

Practice address

3295 N Arlington Heights Rd
Suite 103
Arlington Heights, IL 60004-1565

Phone

(847) 490-7689

NPI assigned

Aug 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Michael Davison, PHD

  • Psychologist
  • Arlington Heights, IL
  • NPI 1215184106
  NPD (past) Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1427204296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 103",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041565",
            "telephone_number": "847-490-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 103",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041565",
            "telephone_number": "847-490-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "071005382",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.