Active NPI
Bree Elizabeth Davis, PSY.D.
- Clinical Psychologist
- Inglewood, CA
National Provider Identifier
1861717902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- XXXXX
- Practice address
- 614 W Manchester Blvd
Inglewood, CA 90301-1656 - Phone
- (310) 412-0879
- Fax
- (310) 412-3365
- NPI assigned
- Apr 1, 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 | XXXXX | CA | Primary |
Addresses
Primary practice location
614 W Manchester Blvd
Inglewood, CA 90301-1656
Mailing address
614 W Manchester Blvd
Inglewood, CA 90301-1656
Phone (310) 412-0879
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXX | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1861717902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 W MANCHESTER BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011656",
"telephone_number": "310-412-0879",
"fax_number": "310-412-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 W MANCHESTER BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011656",
"telephone_number": "310-412-0879",
"fax_number": "310-412-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BREE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "XXXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.