Tania Davidson PSYD a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY16510 Issued in CA

Legal business name

TANIA DAVIDSON PSYD A PSYCHOLOGICAL CORPORATION

Practice address

200 Tamal PLZ Ste 130
Corte Madera, CA 94925-1195

Phone

(415) 347-3438

Fax

(805) 339-0806

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tania Davidson, PSY.D.NPI 1952476947

Title

Psychologist

Phone

(415) 347-3438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Tania A Davidson, PSY.D.

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1952476947
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1801027495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 NAVIGATOR DR # 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014334",
            "telephone_number": "805-320-5256",
            "fax_number": "805-339-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 130",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251195",
            "telephone_number": "415-347-3438",
            "fax_number": "805-339-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 Navigator Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930014334",
            "country_code": "US",
            "telephone_number": "805-628-2613",
            "fax_number": "805-339-0806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TANIA DAVIDSON PSYD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "415-347-3438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.