Emily A Davis, MSCP, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361005093 Issued in MI

Practice address

89 W South Blvd Ste 200
Troy, MI 48085

Phone

(800) 693-1916

Fax

(248) 693-1916

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1851632277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 KIPLING AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721519",
            "telephone_number": "248-675-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W SOUTH BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "800-693-1916",
            "fax_number": "248-693-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 S Lapeer Rd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MI",
            "postal_code": "483716108",
            "country_code": "US",
            "telephone_number": "248-969-9932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "MSCP, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015074",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361005093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Forst MD PC
• David S. Huang Ma PC
• Davis Hylton Radtke TWM LLC
• Bonnie Davis, CMT
• Chloe Marie Davis
• James J. Davis III, RBT
• Michael Carl Davis, M.D.
• Timothy Michael Davis
• Dawisha Dental, PLLC
• Vincent Dawisha

• Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.