Active NPI
Neil Davis, M.A.
- Counseling Psychologist
- Montpelier, VT
National Provider Identifier
1962573014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 047-0000636
- Practice address
- 174 Elm St
Ste 4
Montpelier, VT 05602-2262 - Phone
- (802) 223-3753
- Fax
- (802) 223-3737
- NPI assigned
- Nov 12, 2006
- Last updated
- Mar 6, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 047-0000636 | VT | Primary |
Addresses
Primary practice location
174 Elm St
Ste 4
Montpelier, VT 05602-2262
Mailing address
174 Elm St
Ste 4
Montpelier, VT 05602-2262
Phone (802) 223-3753
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 959928 | Other | VT | MVP ID |
| 2013186 | Other | VT | CIGNA ID |
| 247233 | Other | VT | MAGELLAN ID |
| 06228643 | Other | VT | BLUE CROSS SHIELD # |
| 1005373 | Medicaid | VT |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047-0000636 | VT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1962573014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 ELM ST",
"address_2": "STE 4",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022262",
"telephone_number": "802-223-3753",
"fax_number": "802-223-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 ELM ST",
"address_2": "STE 4",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022262",
"telephone_number": "802-223-3753",
"fax_number": "802-223-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NEIL",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "047-0000636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP ID",
"identifier": "959928",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "2013186",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN ID",
"identifier": "247233",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD #",
"identifier": "06228643",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005373",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.