Active NPI
Lynley Sheryl Davis, PH.D.
- Clinical Neuropsychologist
- Huntsville, AL
National Provider Identifier
1558360719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1272
- Practice address
- 4100 Goss Rd SW
Huntsville, AL 35809-7000 - Phone
- (256) 955-8888
- Fax
- (256) 876-8547
- NPI assigned
- Jul 19, 2005
- Last updated
- Aug 9, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1272 | AL | Primary |
| Psychologist | 103T00000X | 1272 | AL | |
| Clinical Psychologist | 103TC0700X | 1272 | AL | |
| Rehabilitation Psychologist | 103TR0400X | 1272 | AL |
Addresses
Primary practice location
4100 Goss Rd SW
Huntsville, AL 35809-7000
Mailing address
4100 Goss Rd SW
Huntsville, AL 35809-7000
Phone (256) 955-8888
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Rehabilitation Center Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pain and Rehabilitation Institute
- Mental Health Counselor
- Hoover, AL
- NPI 1518065994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1558360719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 GOSS RD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358097000",
"telephone_number": "256-955-8888",
"fax_number": "256-876-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 GOSS RD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358097000",
"telephone_number": "256-955-8888",
"fax_number": "256-876-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LYNLEY",
"middle_name": "SHERYL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AL",
"license": "1272",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "1272",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1272",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "AL",
"license": "1272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.