Active NPI
Mariah Davis
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1922832468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810008628
- Practice address
- 5100 Cleveland St
Virginia Beach, VA 23462-6502 - Phone
- (757) 648-6000
- NPI assigned
- Aug 28, 2024
- Last updated
- Aug 28, 2024
- 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 | 0810008628 | VA | Primary |
Addresses
Primary practice location
5100 Cleveland St
Virginia Beach, VA 23462-6502
Mailing address
5160 Stratford Chase Dr
Virginia Beach, VA 23464-5536
Phone (607) 765-5887
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 |
|---|---|---|---|
| 0810008628 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1922832468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5160 STRATFORD CHASE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645536",
"telephone_number": "607-765-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 CLEVELAND ST",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626502",
"telephone_number": "757-648-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.