Active NPI
Mark N Davis, MA LEP NCSP ABSNP
- School Psychologist
- Chico, CA
National Provider Identifier
1780225250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3468
- Practice address
- 1479 Oak Ridge Dr
Chico, CA 95928-8856 - Phone
- (530) 570-6822
- NPI assigned
- Oct 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3468 | CA | Primary |
Addresses
Primary practice location
1479 Oak Ridge Dr
Chico, CA 95928-8856
Mailing address
PO Box 1538
Chico, CA 95927-1538
Phone (530) 570-6822
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3468 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1780225250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1538",
"city": "CHICO",
"state": "CA",
"postal_code": "959271538",
"telephone_number": "530-570-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 OAK RIDGE DR",
"city": "CHICO",
"state": "CA",
"postal_code": "959288856",
"telephone_number": "530-570-6822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARK",
"middle_name": "N",
"credential": "MA LEP NCSP ABSNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "CA",
"license": "3468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.