Active NPI
Nancy E. Davie, Inc.
- Counselor
- Macclenny, FL
National Provider Identifier
1821357708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH3067
- Legal business name
- NANCY E. DAVIE, INC.
- Practice address
- 117 S 5TH St
Macclenny, FL 32063-2303 - Phone
- (904) 259-1758
- Fax
- (904) 259-9553
- NPI assigned
- May 11, 2012
- Last updated
- May 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy E Davie, PSY.D, LMHC
- Title
- President
- Phone
- (904) 259-1758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH3067 | FL | Primary |
Addresses
Primary practice location
117 S 5TH St
Macclenny, FL 32063-2303
Mailing address
PO Box 748
Macclenny, FL 32063-0748
Phone (904) 259-1758
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11530833 | Other | CAQH | |
| 133518000 | Other | MAGELLAN HEALTH SERVICES | |
| Z6736 | Other | BC/BS | |
| 100055819 | Other | SOUTHCARE PPO | |
| 239885 | Other | AV-MED | |
| 169263 | Other | MANAGED HN | |
| 272031 | Other | VALUE OPTIONS | |
| 2016499 | Other | FIRST HEALTH | |
| 5378011 | Other | AETNA | |
| 9426111 | Other | PHCS | |
| DAVNANCY | Other | CORPHEALTH, INC. |
National Provider Directory
National Provider DirectoryLocations
117 S 5th St
Macclenny, FL 32063
Phone (904) 259-1758
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Macclenny, FL
- NPI 1043384118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1821357708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320630748",
"telephone_number": "904-259-1758",
"fax_number": "904-259-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S 5TH ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632303",
"telephone_number": "904-259-1758",
"fax_number": "904-259-9553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY E. DAVIE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "DAVIE",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-259-1758",
"authorized_official_credential": "PSY.D, LMHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "FL",
"license": "MH3067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11530833",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "133518000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "Z6736",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHCARE PPO",
"identifier": "100055819",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV-MED",
"identifier": "239885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HN",
"identifier": "169263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "272031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2016499",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5378011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9426111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPHEALTH, INC.",
"identifier": "DAVNANCY",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.