Individual provider Active NPI

Sandra Davis, PSYD

  • Clinical Psychologist
  • McKinney, TX
National Provider Identifier
1689914616
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35019 Issued in TX
Practice address
1402 S Custer Rd Ste 803
McKinney, TX 75072-1453
Phone
(469) 406-6899
Fax
(469) 625-2218
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35019 TX Primary

Addresses

Primary practice location

1402 S Custer Rd Ste 803
McKinney, TX 75072-1453

Mailing address

1402 S Custer Rd Ste 803
McKinney, TX 75072-1453
Phone (469) 406-6899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35019TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Psychological Group Current Accepting new patients
Anchor Psychology Group Clinical CurrentSince Jul 24, 2022 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

1402 S Custer Rd
Ste 803
McKinney, TX 75072
Phone (469) 406-6899

Organizations & group practices 3

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": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689914616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 803",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721453",
            "telephone_number": "469-406-6899",
            "fax_number": "469-625-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 803",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721453",
            "telephone_number": "469-406-6899",
            "fax_number": "469-625-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.