Organization Active NPI

Nancy E. Davie, Inc.

  • Counselor
  • Macclenny, FL
National Provider Identifier
1821357708
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH3067 Issued in FL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Nancy E Davie, PSY.D, LMHCNPI 1043384118
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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
11530833OtherCAQH
133518000OtherMAGELLAN HEALTH SERVICES
Z6736OtherBC/BS
100055819OtherSOUTHCARE PPO
239885OtherAV-MED
169263OtherMANAGED HN
272031OtherVALUE OPTIONS
2016499OtherFIRST HEALTH
5378011OtherAETNA
9426111OtherPHCS
DAVNANCYOtherCORPHEALTH, INC.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.