Active NPI
Gloria Jean Davidson, MFT
- Mental Health Counselor
- San Ramon, CA
National Provider Identifier
1558341545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC33310
- Practice address
- 2682 Bishop Dr
Suite 211
San Ramon, CA 94583-4450 - Phone
- (925) 244-0873
- NPI assigned
- Jan 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC33310 | CA | Primary |
Addresses
Primary practice location
2682 Bishop Dr
Suite 211
San Ramon, CA 94583-4450
Mailing address
2685 Marsh Dr
San Ramon, CA 94583-2120
Phone (925) 830-4553
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 |
|---|---|---|---|
| MFC33310 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558341545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2685 MARSH DR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832120",
"telephone_number": "925-830-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2682 BISHOP DR",
"address_2": "SUITE 211",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834450",
"telephone_number": "925-244-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "GLORIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC33310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.