Amanda Nichole Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

135 S Broadway
Saratoga Springs, NY 12866-4532

Phone

(518) 584-9030

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saratoga County

  • Community/Behavioral Health Agency
  • Saratoga Springs, NY
  • NPI 1700912367
  NPD
• Saratoga County

  • Home Health Agency
  • Saratoga Springs, NY
  • NPI 1497752158
  NPD (past)

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1659138659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CREEKSIDE DR",
            "city": "ROCK CITY FALLS",
            "state": "NY",
            "postal_code": "128631238",
            "telephone_number": "518-598-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BROADWAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664532",
            "telephone_number": "518-584-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H. Spingarn, DO
• David M Mastrianni MD
• Rachel Ann Davies-Hohman, RD, CDN
• John A Davies, M.D.
• Miriam Davis-Doern, LCSW-R, CASAC
• Diane B Davis, LCSW
• Robert Warren Davis, MSW
• Tina Davis, EDD
• Edwin A Davison Jr., M.D.
• Catherine Dawson, MD

• Mental Health Counselor in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.