Active NPI
Michael Charles Davis, M.D., PH.D.
- Psychiatry Physician
- Silver Spring, MD
National Provider Identifier
1578717187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D82523
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 110088 | CA | MD | Clinical Social Worker |
| D82523 | MD | MD | Psychiatry 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.