Individual provider Active NPI

Diana Davidson, PH.D.

  • Psychologist
  • Boynton Beach, FL
National Provider Identifier
1679993513
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6623 Issued in FL
Practice address
4781 N Congress Ave # 2233
Boynton Beach, FL 33426-7941
Phone
(561) 666-7256
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6623 FL Primary

Addresses

Primary practice location

4781 N Congress Ave # 2233
Boynton Beach, FL 33426-7941

Mailing address

1774 Smyrna Rd SW
Conyers, GA 30094-6159
Phone (305) 297-9717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180423000808 FL Practitioner - Clinical Psychologist 8426311697 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL; Boynton Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 S Dixie Hwy
Suite 508
Boca Raton, FL 33432-7454
Phone (561) 666-7256

4781 N Congress Ave
Suite 2233
Boynton Beach, FL 33426-7941
Phone (561) 666-7256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6623FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dana Ratsprecher Psy.D., LLC CurrentSince Dec 1, 2017 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1679993513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 SMYRNA RD SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946159",
            "telephone_number": "305-297-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 N CONGRESS AVE # 2233",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267941",
            "telephone_number": "561-666-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.