Shaun Davis, PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SHAUN DAVIS, PSYD, LLC

Practice address

470 N Villa Rd
Newberg, OR 97132-1858

Phone

(503) 495-3870

Fax

(971) 264-5330

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Shaun Davis, PSYDNPI 1699240184

Title

Sole Member

Phone

(503) 495-3870

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaun L Davis, PSYD

  • Clinical Psychologist
  • Newberg, OR
  • NPI 1699240184
  Medicare reassignment Authorized official
• Naomi Wu

  • Psychologist
  • Newberg, OR
  • NPI 1437819976
  NPD
• Lianne McLanahan

  • Counselor
  • Gresham, OR
  • NPI 1114607868
  NPD (past)

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1770107187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "YAMHILL",
            "state": "OR",
            "postal_code": "971480327",
            "telephone_number": "503-781-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321858",
            "telephone_number": "503-495-3870",
            "fax_number": "971-264-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN DAVIS, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-495-3870",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin David Seppala, M.D.
• Serenity Home Services Inc.
• Elizabeth S Severson, DO
• Jennifer Shaheed, M.A., QMHP
• Benjamin Luke Shannon
• Lian R Shaw, MD
• Heather Shea, LPC
• Priscilla Shim, MA
• Fredrick Francis Shipley, LMT
• Steven Shockley, PA-C

• Clinical Psychologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.