Active NPI
Michele Davis, PH.D.
- Clinical Psychologist
- Briarcliff Manor, NY
National Provider Identifier
1922156603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011907
- Practice address
- 59 Sunset Dr
Briarcliff Manor, NY 10510-1559 - Phone
- (917) 922-5952
- NPI assigned
- Jan 8, 2007
- Last updated
- Sep 18, 2009
- 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 | 011907 | NY | Primary |
Addresses
Primary practice location
59 Sunset Dr
Briarcliff Manor, NY 10510-1559
Mailing address
41 1St Ave
Ossining, NY 10562-2621
Phone (917) 922-5952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080291 | Other | NY | HEALTHNET |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011907 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Jewish Community Services Inc. | Past | Accepting new patients | |
| Westchester Jewish Community Services Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Hartsdale, NY
- NPI 1154025245
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1457381196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1922156603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 1ST AVE",
"city": "OSSINING",
"state": "NY",
"postal_code": "105622621",
"telephone_number": "917-922-5952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 SUNSET DR",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "105101559",
"telephone_number": "917-922-5952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "080291",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Briarcliff Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.