Active NPI
Calandre Jane Davis, PSY.D
- Clinical Psychologist
- Winchester, VA
National Provider Identifier
1609209733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 081007590
- Practice address
- 170 Prosperity Dr
Winchester, VA 22602-5356 - Phone
- (304) 263-0811
- NPI assigned
- Aug 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 081007590 | VA | Primary |
Addresses
Primary practice location
170 Prosperity Dr
Winchester, VA 22602-5356
Mailing address
170 Prosperity Dr
Winchester, VA 22602-5356
Phone (043) 263-0811
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 |
|---|---|---|---|
| 081007590 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson Behavioral Health, Inc. | Past | Accepting new patients | |
| Henderson Behavioral Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Ft Lauderdale, FL
- NPI 1053262709
-
- Community/Behavioral Health Agency
- Lauderdale Lakes, FL
- NPI 1972533271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1609209733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 PROSPERITY DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226025356",
"telephone_number": "043-263-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 PROSPERITY DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226025356",
"telephone_number": "304-263-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CALANDRE",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "081007590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.