Marc Robert Davis, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1542 Issued in MN

Practice address

701 Decatur Ave N
Suite 109
Golden Valley, MN 55427-4367

Phone

(763) 746-2401

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1679806467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 GIRARD AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372406",
            "telephone_number": "952-223-1200",
            "fax_number": "952-223-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N",
            "address_2": "SUITE 109",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274367",
            "telephone_number": "763-746-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARC",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dang, MA, LPCC
• Vinh Dang
• Samuel Dardick, M.D.
• Akram Hussain Dastagir, M.D.
• Elise Davidson, LPCC
• Nurelhuda Ali Dawoud
• Gwendolyn Day, LMFT
• Sonja Lukas Day, DPT
• Lindsey Decambaliza
• Emily Degnan, PHARMD

• Marriage & Family Therapist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.