James Sherwood Davis Jr., MS, CAS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001187 Issued in NY

Practice address

272 Maxwell Rd
Latham, NY 12110-4915

Phone

(518) 438-9596

Fax

(518) 438-9598

NPI assigned

Aug 8, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Samaritan Counseling Center of the Mohawk Valley, Inc

  • Mental Health Counselor
  • Utica, NY
  • NPI 1649377854
  Medicare reassignment NPD Authorized official
• Samaritan Counseling Center of the Mohawk Valley, Inc

  • Social Worker
  • Utica, NY
  • NPI 1588903454
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487664082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LATHAM RIDGE RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103009",
            "telephone_number": "518-786-8225",
            "fax_number": "888-632-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 MAXWELL RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104915",
            "telephone_number": "518-438-9596",
            "fax_number": "518-438-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "SHERWOOD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, CAS, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niccole Davey, FNP-BC
• David F. Cryns, D.O., OB /GYN
• David J. Vallecorsa DDS PLLC
• Barry Davis, LCSW-E
• Emily Davis, MA, LMHC
• Portia O Davis, FNP
• Michele Day, LMHC
• Elsa I Deboy, PHARMD
• Paroda Loy Decavallas, LMHC
• Lindsay Dechow, OT

• Mental Health Counselor in Latham, NY
• Providers in Latham, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.