Active NPI
Daphne Fatter, PH.D.
- Counseling Psychologist
- McKinney, TX
National Provider Identifier
1497033476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 36337
- Practice address
- 6675 Mediterranean Dr
Suite 305
McKinney, TX 75070-5573 - Phone
- (469) 320-9668
- NPI assigned
- Jul 25, 2011
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 36337 | TX | Primary |
Addresses
Primary practice location
6675 Mediterranean Dr
Suite 305
McKinney, TX 75070-5573
Mailing address
PO Box 866222
Plano, TX 75086-6222
Phone (469) 320-9668
Other names 1
- Daphne Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36337 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1497033476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 866222",
"city": "PLANO",
"state": "TX",
"postal_code": "750866222",
"telephone_number": "469-320-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 MEDITERRANEAN DR",
"address_2": "SUITE 305",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705573",
"telephone_number": "469-320-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATTER",
"first_name": "DAPHNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "36337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAPHNE",
"last_name": "DAVIS",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.