Leif Eriksen Davis, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6304 Issued in FL

Practice address

7353 W Sand Lake Rd
Ste 202
Orlando, FL 32819-5258

Phone

(407) 351-5660

Fax

(407) 363-6707

NPI assigned

Oct 26, 2006

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

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meivis Health LLC

  • Clinical Psychologist
  • Orlando, FL
  • NPI 1700963188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720163835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7353 W SAND LAKE RD",
            "address_2": "STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195258",
            "telephone_number": "407-351-5660",
            "fax_number": "407-363-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7353 W SAND LAKE RD",
            "address_2": "STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195258",
            "telephone_number": "407-351-5660",
            "fax_number": "407-363-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LEIF",
        "middle_name": "ERIKSEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID",
            "identifier": "130867",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK ID",
            "identifier": "0001056461",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "1381886",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Davis
• Latifah Davis
• Latisha Davis
• Laura Renee Davis, ARNP
• Laurie Ann Davis, RN
• Luke Jeffery Davis
• Luz Maria Davis
• Marsha Davis, COTA
• Mary Amber Davis, RN
• Melinda Davis, LMHC

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.