David P Davis, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 212 Issued in HI

Practice address

7195 W Falcon View Pass
Marana, AZ 85658-4986

Phone

(808) 756-1863

Fax

(820) 352-9602

NPI assigned

Aug 19, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, Psychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1619082039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 W FALCON VIEW PASS",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856584986",
            "telephone_number": "808-756-1863",
            "fax_number": "520-352-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 W FALCON VIEW PASS",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856584986",
            "telephone_number": "808-756-1863",
            "fax_number": "820-352-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR DAVID P DAVIS, PH.D., LLC",
            "identifier": "1487760484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047310",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine Jennifer D'Haven, LPC
• Daniel Garcia
• Angela Daniels-Valenzuela, LISAC
• Linh Liz Dao, RDH
• David P Davis, PH.D., LLC
• Jill Davis
• Sharon Davis, LPC
• Catalina Daye, NURSE PRACTITIONER
• Mary J Debaca, RDH
• Krystina Eileen Delgado, LPC, MS

• Clinical Psychologist in Marana, AZ
• Providers in Marana, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.