Active NPI
Robert Davis, PSY.D.
- Clinical Psychologist
- Hadley, MA
National Provider Identifier
1497033997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7324
- Practice address
- 8 River Dr
Hadley, MA 01035-3540 - Phone
- (413) 444-0036
- Fax
- (413) 584-3939
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7324 | MA | Primary |
Addresses
Primary practice location
8 River Dr
Hadley, MA 01035-3540
Mailing address
PO Box 9
Hadley, MA 01035-0009
Phone (413) 444-0036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410002725 | MA | Practitioner - Clinical Psychologist | 0749560902 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 Russell St
Hadley, MA 01035-9570
Phone (413) 444-0036
PO Box
Suite 9
Hadley, MA 01035-0009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7324 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health Solutions LLC | Current | Accepting new patients | |
| Brain Analysis & Neurodevelopment Center, LLC | Past | Accepting new patients |
Locations
8 River Dr
Hadley, MA 01035
Phone (413) 259-9118
Organizations & group practices 3
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.
-
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Hadley, MA
- NPI 1386008985
-
- Psychologist
- Hadley, MA
- NPI 1275063109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1497033997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "HADLEY",
"state": "MA",
"postal_code": "010350009",
"telephone_number": "413-444-0036",
"fax_number": "413-584-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 RIVER DR",
"city": "HADLEY",
"state": "MA",
"postal_code": "010353540",
"telephone_number": "413-444-0036",
"fax_number": "413-584-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROBERT",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.