Active NPI
Edward Britt Davis, PSY.D.
- Clinical Psychologist
- Wheaton, IL
National Provider Identifier
1497166854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.008813
- Practice address
- 7 Blanchard Cir
Suite #201
Wheaton, IL 60189-2037 - Phone
- (630) 653-2300
- Fax
- (630) 653-2895
- NPI assigned
- May 19, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.008813 | IL | Primary |
Addresses
Primary practice location
7 Blanchard Cir
Suite #201
Wheaton, IL 60189-2037
Mailing address
111 N Wheaton Ave Unit 210
Wheaton, IL 60187-5193
Phone (919) 605-6190
Other names 1
- Dr. Ward Davis
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 |
|---|---|---|---|
| 071.008813 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Clinical Associates SC | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1497166854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WHEATON AVE UNIT 210",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875193",
"telephone_number": "919-605-6190",
"fax_number": "630-752-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"address_2": "SUITE #201",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "630-653-2300",
"fax_number": "630-653-2895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "EDWARD",
"middle_name": "BRITT",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WARD",
"last_name": "DAVIS",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.