Individual provider Active NPI

Michael Charles Davis, M.D., PH.D.

  • Psychiatry Physician
  • Silver Spring, MD
National Provider Identifier
1578717187
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D82523 Issued in MD
Practice address
10903 New Hampshire Ave.
BLDG 22, RM 4121
Silver Spring, MD 20993
Phone
(301) 796-0649
Fax
(888) 202-1492
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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 D82523 MD Primary

Addresses

Primary practice location

10903 New Hampshire Ave.
BLDG 22, RM 4121
Silver Spring, MD 20993

Mailing address

10903 New Hampshire Ave.
BLDG 22, RM 4121
Silver Spring, MD 20993
Phone (301) 796-0649

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
110088CAMDClinical Social Worker
D82523MDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1578717187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 NEW HAMPSHIRE AVE.",
            "address_2": "BLDG 22, RM 4121",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20993",
            "telephone_number": "301-796-0649",
            "fax_number": "888-202-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 NEW HAMPSHIRE AVE.",
            "address_2": "BLDG 22, RM 4121",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20993",
            "telephone_number": "301-796-0649",
            "fax_number": "888-202-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D82523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.