Individual provider Active NPI

Carla Mae Davey, PHD

  • Clinical Psychologist
  • Fitchburg, WI
National Provider Identifier
1902337785
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3075-57 Issued in WI
Practice address
2916 Marketplace Dr Ste 208
Fitchburg, WI 53719-5327
Phone
(608) 608-0813
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3075-57 WI Primary

Addresses

Primary practice location

2916 Marketplace Dr Ste 208
Fitchburg, WI 53719-5327

Mailing address

2916 Marketplace Dr Ste 208
Fitchburg, WI 53719-5327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905002481 WI Practitioner - Clinical Psychologist 4880923507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2916 Marketplace Dr
Suite 208
Fitchburg, WI 53719-5327
Phone (608) 608-0813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3075-57WIMDClinical Psychologist
3075WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
K Bare LLC CurrentSince Jan 4, 2026 Accepting new patients
The Psychology Center S C CurrentSince Aug 26, 2019 Accepting new patients
Davey Psychology LLC Clinical CurrentSince Jan 6, 2025 Accepting new patients

Locations

2916 Marketplace Dr
Ste 208
Fitchburg, WI 53719
Phone (608) 608-0813

7617 Mineral Point Rd
Madison, WI 53717
Phone (608) 833-9290

7617 Mineral Point Rd
Ste 300
Madison, WI 53717
Phone (608) 833-9290

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1902337785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 MARKETPLACE DR STE 208",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 MARKETPLACE DR STE 208",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195327",
            "telephone_number": "608-608-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "CARLA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3075-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.