Active NPI
Donald Douglas Davis Jr., PSY.D.
- Psychologist
- Raleigh, NC
National Provider Identifier
1720203334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3222
- Practice address
- 131 Wind Chime CT Ste B1
Raleigh, NC 27615-6433 - Phone
- (919) 749-4210
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3222 | NC | |
| Clinical Psychologist | 103TC0700X | 3222 | NC | |
| Counseling Psychologist | 103TC1900X | 3222 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3222 | NC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3222 | NC | |
| Marriage & Family Therapist | 106H00000X | 3222 | NC | |
| Family Psychologist | 103TF0000X | 3222 | NC | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 3222 | NC | |
| Group Psychotherapy Psychologist | 103TP2701X | 3222 | NC | |
| Psychologist | 103T00000X | 3222 | NC | Primary |
Addresses
Primary practice location
131 Wind Chime CT Ste B1
Raleigh, NC 27615-6433
Mailing address
313 Rosehaven Dr
Raleigh, NC 27609-3883
Phone (919) 749-4210
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3222 | NC | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1720203334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 ROSEHAVEN DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093883",
"telephone_number": "919-749-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 WIND CHIME CT STE B1",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156433",
"telephone_number": "919-749-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DONALD",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NC",
"license": "3222",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.