Individual provider Active NPI

David J Chavers, PH.D.

  • Psychologist
  • Mobile, AL
National Provider Identifier
1629634399
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1340 Sledge Dr Ste B
Mobile, AL 36606-3000
Phone
(251) 473-3410
Fax
(251) 476-4454
NPI assigned
May 17, 2019
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1340 Sledge Dr Ste B
Mobile, AL 36606-3000

Mailing address

110 Lancaster Way
Daphne, AL 36526-7042
Phone (251) 377-5292

Other practice location 1

22765 US Highway 98
Fairhope, AL 36532-3499
Phone (251) 473-3410

Other practice location 2

4444 Demetropolis Rd
Mobile, AL 36619
Phone (251) 219-3900 ext. 33827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209003714 AL Practitioner - Clinical Psychologist 6002259652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Counseling and Associates, P.C.Group PAC ID 8325437858, 15 clinicians

Practice addresses (Care Compare)

1340 Sledge Dr
Suite B
Mobile, AL 36606-3000
Phone (251) 473-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Counseling & Associates, P.C. Psychologist CurrentSince Nov 29, 2023 Accepting new patients

Locations

20252 State Highway 181
Ste C
Fairhope, AL 36532
Phone (251) 473-3410

22765 US Highway 98
Fairhope, AL 36532
Phone (251) 473-3410

1340 Sledge Dr
Mobile, AL 36606
Phone (251) 342-0004

1340 Sledge Dr
Ste B
Mobile, AL 36606
Phone (251) 473-3410

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1629634399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LANCASTER WAY",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267042",
            "telephone_number": "251-377-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SLEDGE DR STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063000",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22765 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323499",
            "country_code": "US",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4444 Demetropolis Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "36619",
            "country_code": "US",
            "telephone_number": "251-219-3900 x33827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVERS",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.