Active NPI
Cynthia C Davis, PH.D,C.HT
- Counselor
- Niles, MI
National Provider Identifier
1831287028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CHT 696-272
- Practice address
- 2527 S 11TH St
Suite 2
Niles, MI 49120-4747 - Phone
- (269) 683-3299
- Fax
- (269) 683-3299
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CHT 696-272 | CA | Primary |
Addresses
Primary practice location
2527 S 11TH St
Suite 2
Niles, MI 49120-4747
Mailing address
2527 S 11TH St
Suite 2
Niles, MI 49120-4747
Phone (269) 683-3299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHT 696-272 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831287028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 S 11TH ST",
"address_2": "SUITE 2",
"city": "NILES",
"state": "MI",
"postal_code": "491204747",
"telephone_number": "269-683-3299",
"fax_number": "269-683-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 S 11TH ST",
"address_2": "SUITE 2",
"city": "NILES",
"state": "MI",
"postal_code": "491204747",
"telephone_number": "269-683-3299",
"fax_number": "269-683-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CYNTHIA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D,C.HT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "CHT 696-272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, MI
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.