Neil Davis, M.A.
Individual provider Active NPI Counseling Psychologist · Montpelier, VT
NPI 1962573014 · NPPES record last updated Mar 6, 2013
Key facts
- NPI
- 1962573014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 047-0000636 (VT)
- Practice address
- 174 Elm St
Ste 4
Montpelier, VT 05602-2262 - Phone
- (802) 223-3753
- Fax
- (802) 223-3737
- NPI assigned
- Nov 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047-0000636 | VT | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 047-0000636 | VT | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005373 | Medicaid | VT | |
| 2013186 | Other | VT | CIGNA ID |
| 06228643 | Other | VT | BLUE CROSS SHIELD # |
| 247233 | Other | VT | MAGELLAN ID |
| 959928 | Other | VT | MVP ID |
Other providers in Montpelier, VT
- Darlene M Duff, Lcmhc
- Robin Darrow
- David Contrada, PLC
- David Rapp, Ms, PLC
- Russell Davignon
- Page Quenby Decroti
- Debbie S Deforge
- Deborah A Degraff
- Michele Boyd Delaney
- Dana Demartino
All providers in Montpelier, VT · Counseling Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.