NPIMap

Melissa Maxwell Davis, PH.D.

Individual provider Active NPI Clinical Psychologist · Poolesville, MD

NPI 1457548075 · NPPES record last updated May 8, 2026

Key facts

NPI
1457548075
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
06195 (MD)
Practice address
17125 Campbell Farm Rd
Poolesville, MD 20837-2172
Phone
(574) 261-6937
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8821NCMDProfessional Counselor
06195MDMDClinical Psychologist
8821AZMDDentist
8821COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford C. Richards Past
since Jul 13, 2009		 Accepting new patients
Southwest Cares NV LLC Clinical Past
since Jan 1, 2013		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06195 MD Yes

Addresses

Primary practice location

17125 Campbell Farm Rd
Poolesville, MD 20837-2172

Mailing address

17125 Campbell Farm Rd
Poolesville, MD 20837-2172
Phone (574) 261-6937

Other names

  • Melissa Anne Maxwell Former name

Other providers in Poolesville, MD

All providers in Poolesville, MD · Clinical Psychologist in Maryland

Sources for this page

Verify at the official NPI Registry.