NPIMap

Organization Active NPI

Davis Counseling Services

  • Psychologist
  • Hermitage, PA
National Provider Identifier
1689670515
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007899L Issued in PA
Legal business name
DAVIS COUNSELING SERVICES
Practice address
689 N Hermitage Rd
Hermitage, PA 16148
Phone
(724) 983-1940
Fax
(724) 983-1963
NPI assigned
Jun 24, 2005
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dawn R. Hanaway, M.ED.
Title
Owner/Ceo
Phone
(724) 813-2487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS007899L PA Primary

Addresses

Primary practice location

689 N Hermitage Rd
Hermitage, PA 16148

Mailing address

689 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 983-1940

Other names 1

  • Davis Psychological Services Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120809000433 PA Part B Supplier - Clinic/Group Practice 8729234570 Receives reassigned benefits from 5 practitioners
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

689 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 347-4099

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1689670515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-983-1940",
            "fax_number": "724-983-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-983-1940",
            "fax_number": "724-983-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "HANAWAY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "724-813-2487",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007899L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.