Timothy Alan Davis, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS016788 Issued in PA

Practice address

164 Buckingham Dr
Chambersburg, PA 17201-8370

Phone

(171) 738-5573

NPI assigned

Dec 29, 2006

Last updated

May 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meditelecare of Maryland LLC

  • Psychologist
  • Baltimore, MD
  • NPI 1083297089

  Clinical

  NPD
• Meditelecare of New Jersey LLC

  • Clinical Psychologist
  • Ewing, NJ
  • NPI 1639750797
  NPD
• Meditelecare of Rhode Island LLC

  • Nurse Practitioner
  • Warwick, RI
  • NPI 1801477963

  Clinical Neuropsychologist

  NPD
• Meditelecare of Virginia, LLC

  • Clinical Psychologist
  • Glen Allen, VA
  • NPI 1851890321
  NPD
• Meditelecare of West Virginia PLLC

  • Clinical Psychologist
  • Charleston, WV
  • NPI 1235631888
  NPD
• Medoptions of Kentucky LLC

  • Psychiatry Physician
  • Frankfort, KY
  • NPI 1518412121

  Clinical

  NPD
• Medoptions of New Hampshire LLC

  • Psychiatry Physician
  • Concord, NH
  • NPI 1033567748

  Clinical

  NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1740346253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BUCKINGHAM DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172018370",
            "telephone_number": "717-385-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BUCKINGHAM DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172018370",
            "telephone_number": "171-738-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-05-16",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS016788",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Thomas Davis, M.D.
• Jennifer Jan Davis, MA CCC-SLP
• Kirk W Davis, DPM
• Korbin L Davis
• Michael Davis, CRNA
• Whitney Renee Davis, OTR/L
• William Lee Davis, MD
• Kaitlyn Dawes, AUD
• Devin K Day, DPT
• Rachel Anna Day, MD

• Clinical Neuropsychologist in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.