Lisa Anita Davidson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

19308 Issued in CA

Practice address

14015 Midland Rd
Poway, CA 92064-3959

Phone

(858) 672-0130

Fax

(858) 676-0154

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA, NV2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Lisa a Davidson, PHD, Apc

  • Clinical Psychologist
  • Poway, CA
  • NPI 1548513849
  NPD (past) Authorized official
• Psychiatric Services of Houston & Associates

  dba Senior Psychiatric Connection or Senior PsychCare

  • Specialist
  • Houston, TX
  • NPI 1457398489
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1659497600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 MIDLAND RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643959",
            "telephone_number": "858-672-0130",
            "fax_number": "858-676-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 MIDLAND RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643959",
            "telephone_number": "858-672-0130",
            "fax_number": "858-676-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LISA",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "19308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darius a Schneider MD Apc (Diabetes and Endocrine Specialists)
• Ayda Dashtaei, D.O.
• David I Bloomberg,OD, a Professional Corporation (Poway Vision Care)
• David I Bloomberg,OD, a Professional Corporation
• David I Bloomberg,OD,a Professional Corporation (Poway Vision Care)
• Luke Davidson
• Samantha Davidson
• Davis DO DDS Inc.
• Alyce Davis
• Chelsea Davis

• Clinical Psychologist in Poway, CA
• Providers in Poway, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.