Individual provider Active NPI

Mary A Davis, PHD

  • Counseling Psychologist
  • Boise, ID
National Provider Identifier
1912948563
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY-275 Issued in ID
Practice address
1221 W Hays St
Boise, ID 83702-5316
Phone
(208) 345-7358
Fax
(208) 336-9984
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY-275 ID Primary

Addresses

Primary practice location

1221 W Hays St
Boise, ID 83702-5316

Mailing address

1221 W Hays St
Boise, ID 83702-5316
Phone (208) 345-7358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20041116000688 ID Practitioner - Clinical Psychologist 0143124503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 W Hays St
Boise, ID 83702-5316
Phone (208) 955-8215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Davis, PHD PLLC CurrentSince Jul 27, 2006 Accepting new patients
Deborah K. Every, Psy.D., LLC PastSince Jul 4, 2021 Accepting new patients

Locations

1221 W Hays St
Boise, ID 83702
Phone (208) 345-7358

Organizations & group practices 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912948563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025316",
            "telephone_number": "208-345-7358",
            "fax_number": "208-336-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025316",
            "telephone_number": "208-345-7358",
            "fax_number": "208-336-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "PSY-275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.