Active NPI
Elizabeth Helen Davis, PH.D.
- Clinical Psychologist
- Kirkwood, MO
National Provider Identifier
1811214158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2010009570
- Practice address
- 140 Prospect Ave Ste N
Kirkwood, MO 63122-6074 - Phone
- (314) 884-0808
- Fax
- (314) 899-5799
- NPI assigned
- Apr 27, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2010009570 | MO | Primary |
Addresses
Primary practice location
140 Prospect Ave Ste N
Kirkwood, MO 63122-6074
Mailing address
140 Prospect Ave Ste N
Kirkwood, MO 63122-6074
Phone (314) 884-0808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010009570 | Other | MO | MISSOURI PSYCHOLOGY LICENSE |
Other names 1
- Liz Davis Davis Goldman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
140 Prospect Ave
Suite N
Kirkwood, MO 63122-6024
1756 Royston Dr
San Diego, CA 92154-2853
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010009570 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affirming Care Psychotherapy LLC | Clinical | Current | Accepting new patients |
Locations
140 Prospect Ave
Ste N
Kirkwood, MO 63122
Phone (314) 884-0180
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.
-
- Clinical Psychologist
- Kirkwood, MO
- NPI 1679346647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1811214158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PROSPECT AVE STE N",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631226074",
"telephone_number": "314-884-0808",
"fax_number": "314-899-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PROSPECT AVE STE N",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631226074",
"telephone_number": "314-884-0808",
"fax_number": "314-899-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELIZABETH",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-27",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2010009570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI PSYCHOLOGY LICENSE",
"identifier": "2010009570",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "DAVIS GOLDMAN",
"middle_name": "DAVIS",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.