Jennifer Jean Davis, M.D.
Individual provider Active NPI Psychiatry Physician · Soquel, CA
NPI 1750584181 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1750584181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- A62553 (CA)
- Practice address
- 2425 Porter St
Soquel, CA 95073-2444 - Phone
- (831) 475-2563
- Fax
- (831) 475-2563
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 31, 2020 through Aug 31, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A62553 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health in Mind P.C. | Psychiatry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A62553 | CA | Yes |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A62553 | CA |
Addresses
Primary practice location
2425 Porter St
Soquel, CA 95073-2444
Mailing address
PO Box 760
Redwood Estates, CA 95044-0760
Phone (831) 475-2563
Other providers in Soquel, CA
- Elizabeth Crawford
- Julia Diane Crawford
- Michael Dacey
- Lusijah Sutherland Darrow
- David Alan Resnikoff
- Rose A Deakers
- Michelle Kim Dean
- Camille Ditter
- Elizabeth Dorsey
- Jean Anne Doverspike
All providers in Soquel, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.