Kristen Davis-Coelho, PSY

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 0390 Issued in NV

Practice address

1155 Mill St.
Code K8
Reno, NV 89502-1474

Phone

(775) 092-5320

Fax

(775) 982-5765

NPI assigned

Feb 13, 2007

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1952443806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 5TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034407",
            "telephone_number": "775-786-4673",
            "fax_number": "775-348-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST.",
            "address_2": "CODE K8",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021474",
            "telephone_number": "775-092-5320",
            "fax_number": "775-982-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-COELHO",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY 0390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616307",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "PY 0390",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Lynn Davies, LCSW
• Michael George Davies, DDS
• Talia Davies, RN
• Leslie Davila Montes
• Davis Optical Centers
• Noelle Marie Davis-Marinaccio, APRN, FNP-BC
• Aaron Davis
• Aliza Elizabeth Davis
• April Marie Davis
• Bradlee Davis, DDS

• Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.