Active NPI
Joyce Davidson, MD
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1760562102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L3947
- Practice address
- 12301 Main St
Houston, TX 77035-6207 - Phone
- (713) 275-5400
- Fax
- (713) 275-5109
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L3947 | TX | Primary |
Addresses
Primary practice location
12301 Main St
Houston, TX 77035-6207
Mailing address
12301 Main St
Houston, TX 77035-6207
Phone (713) 275-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156882601 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3947 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1760562102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5400",
"fax_number": "713-275-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5400",
"fax_number": "713-275-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JOYCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L3947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156882601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.