James W. Davidson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2534 Issued in OH

Practice address

4212 State Route 306
Suite 306
Willoughby, OH 44094-9258

Phone

(440) 942-0100

Fax

(440) 942-0104

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Lifeline Counseling Center LLC

  • Clinical Psychologist
  • Willoughby, OH
  • NPI 1336166040
  NPD (past) Authorized official

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1598753295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 PRESTON RD",
            "address_2": "STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243239",
            "telephone_number": "440-942-0100",
            "fax_number": "440-942-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306",
            "address_2": "SUITE 306",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949258",
            "telephone_number": "440-942-0100",
            "fax_number": "440-942-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JAMES",
        "middle_name": "W.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dushunna M Daniel
• Darrell W Hardin Inc
• Christopher Lynn Daugherty, M.D.
• David a. Demangone LLC
• Jacqueline Davidson-Hamlin
• Nancy L. Davidson, PH.D.
• Drew Davis, LMT
• Ellen Davis
• Lisa A Davis, M.D.
• Stephen L Davis

• Clinical Psychologist in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.