Active NPI
Kathryn Brogan Davis, PSY.D
- Psychologist
- Reading, PA
National Provider Identifier
1447581475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016745
- Practice address
- 1255 Perkiomen Ave
Reading, PA 19602-1337 - Phone
- (610) 396-9091
- Fax
- (610) 396-9092
- NPI assigned
- Jan 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016745 | PA | Primary |
Addresses
Primary practice location
1255 Perkiomen Ave
Reading, PA 19602-1337
Mailing address
1255 Perkiomen Ave
Reading, PA 19602-1337
Phone (610) 396-9091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016745 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Counseling, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Reading, PA
- NPI 1063441962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1447581475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 PERKIOMEN AVE",
"city": "READING",
"state": "PA",
"postal_code": "196021337",
"telephone_number": "610-396-9091",
"fax_number": "610-396-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 PERKIOMEN AVE",
"city": "READING",
"state": "PA",
"postal_code": "196021337",
"telephone_number": "610-396-9091",
"fax_number": "610-396-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHRYN",
"middle_name": "BROGAN",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.