Individual provider Active NPI

Richard C. Davis, PH.D.

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1790712511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2864 Issued in OH
Practice address
1555 Bethel Rd
Bethel Professional BLDG.
Columbus, OH 43220-2003
Phone
(614) 442-0664
Fax
(614) 442-0620
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2864 OH Primary

Addresses

Primary practice location

1555 Bethel Rd
Bethel Professional BLDG.
Columbus, OH 43220-2003

Mailing address

1555 Bethel Rd
Bethel Professional BLDG.
Columbus, OH 43220-2003
Phone (614) 442-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130312000571 OH Practitioner - Clinical Psychologist 6709798929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Services, Inc.Group PAC ID 5193637304, 5 clinicians

Practice addresses (Care Compare)

1555 Bethel Rd
Columbus, OH 43220-2003
Phone (614) 442-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2864OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Services, Inc. CurrentSince Nov 1, 1986 Accepting new patients

Locations

5320 E Main St
Ste 60
Columbus, OH 43213
Phone (614) 442-0664

1555 Bethel Rd
Columbus, OH 43220
Phone (614) 442-0664

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790712511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BETHEL RD",
            "address_2": "BETHEL PROFESSIONAL BLDG.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202003",
            "telephone_number": "614-442-0664",
            "fax_number": "614-442-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BETHEL RD",
            "address_2": "BETHEL PROFESSIONAL BLDG.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202003",
            "telephone_number": "614-442-0664",
            "fax_number": "614-442-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.