Individual provider Active NPI

Aloysius L Davis, M.D.

  • Psychiatry Physician
  • Longmeadow, MA
National Provider Identifier
1528082799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55333 Issued in MA
Practice address
167 Dwight Rd
Ste 208
Longmeadow, MA 01106-1752
Phone
(413) 567-6790
Fax
(413) 567-6791
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 55333 MA Primary

Addresses

Primary practice location

167 Dwight Rd
Ste 208
Longmeadow, MA 01106-1752

Mailing address

167 Dwight Rd
Suite 208
Longmeadow, MA 01106-1752
Phone (413) 567-6790

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000879 MA Practitioner - Psychiatry 0345296737 Reassigns benefits to 1 organization
Practice locations: Westfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Harvard Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 W Silver St
Noble Hospital
Westfield, MA 01085-3693
Phone (413) 568-2811

167 Dwight Rd
Suite 208
Longmeadow, MA 01106-2177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Psychiatry CurrentSince May 4, 2018 Accepting new patients

Locations

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528082799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 DWIGHT RD",
            "address_2": "SUITE 208",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061752",
            "telephone_number": "413-567-6790",
            "fax_number": "413-567-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 DWIGHT RD",
            "address_2": "STE 208",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061752",
            "telephone_number": "413-567-6790",
            "fax_number": "413-567-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALOYSIUS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "55333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.