Active NPI
Ruthann Davis, PH.D
- Clinical Psychologist
- Brighton, MI
National Provider Identifier
1891972279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301003854
- Practice address
- 2900 Dunsary LN
Suite a
Brighton, MI 48114-9447 - Phone
- (810) 227-4935
- Fax
- (810) 227-4935
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301003854 | MI | Primary |
Addresses
Primary practice location
2900 Dunsary LN
Suite a
Brighton, MI 48114-9447
Mailing address
2900 Dunsary LN
Suite a
Brighton, MI 48114-9447
Phone (810) 227-4935
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1891972279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 DUNSARY LN",
"address_2": "SUITE A",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481149447",
"telephone_number": "810-227-4935",
"fax_number": "810-227-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 DUNSARY LN",
"address_2": "SUITE A",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481149447",
"telephone_number": "810-227-4935",
"fax_number": "810-227-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RUTHANN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301003854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.