Active NPI
Joyce Davis, LICSW
- Mental Health Counselor
- North Reading, MA
National Provider Identifier
1811075963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1019363
- Practice address
- 324 Main St
North Reading, MA 01864-1329 - Phone
- (978) 664-2566
- Fax
- (978) 664-8023
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1019363 | MA | Primary |
Addresses
Primary practice location
324 Main St
North Reading, MA 01864-1329
Mailing address
57 Lakeside Blvd
North Reading, MA 01864-1118
Phone (978) 664-8648
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P06072 | Other | MA | BCBS FEDERAL |
| 004071 | Other | MA | VALUE OPTIONS/GHI |
| 730959 | Other | MA | TUFTS BENEFIT ADMINIST |
| 004071 | Other | MA | VALUE OPTIONS (NY) |
| 730959 | Other | MA | TUFTS HEALTH PLAN |
| 730959 | Other | MA | TUFTS LIBERTY |
| P06072 | Other | MA | BCBS OF MA |
| 004071 | Other | MD | VALUE OPTIONS |
| P06072 | Other | MA | MEDEX |
| 2030824 | Other | MA | CIGNA BEHAVIORAL HEALTH |
| 043114833-08 | Other | MA | PACIFICARE BEHAVIORAL HEA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2018 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1019363 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy Associates of North Reading | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Panr
- Clinical Psychologist
- North Reading, MA
- NPI 1558463067
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811075963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 LAKESIDE BLVD",
"city": "NORTH READING",
"state": "MA",
"postal_code": "018641118",
"telephone_number": "978-664-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 MAIN ST",
"city": "NORTH READING",
"state": "MA",
"postal_code": "018641329",
"telephone_number": "978-664-2566",
"fax_number": "978-664-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOYCE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1019363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL",
"identifier": "P06072",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS/GHI",
"identifier": "004071",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS BENEFIT ADMINIST",
"identifier": "730959",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS (NY)",
"identifier": "004071",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "730959",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS LIBERTY",
"identifier": "730959",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "P06072",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "004071",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDEX",
"identifier": "P06072",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2030824",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE BEHAVIORAL HEA",
"identifier": "043114833-08",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.