Terasa L. Davis, Psy.D., PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

906 Issued in AL

Legal business name

TERASA L. DAVIS, PSY.D., PC

Practice address

5690 Watermelon Rd
Suite 310
Northport, AL 35473-5004

Phone

(205) 391-9777

Fax

(205) 391-9766

NPI assigned

Sep 27, 2015

Last updated

Sep 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terasa L Davis, PSY.D.NPI 1659333987

Title

Clinical Psychologist

Phone

(205) 391-9777

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terasa Lynn Davis, PSY.D.

  • Clinical Psychologist
  • Tuscaloosa, AL
  • NPI 1659333987
  Medicare reassignment NPD Authorized official
• Keith Parham Jr.

  • Mental Health Counselor
  • Northport, AL
  • NPI 1225116494
  NPD (past)

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443312000000",
    "number": "1992175426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 WATERMELON RD",
            "address_2": "SUITE 310",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735004",
            "telephone_number": "205-391-9777",
            "fax_number": "205-391-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 WATERMELON RD",
            "address_2": "SUITE 310",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735004",
            "telephone_number": "205-391-9777",
            "fax_number": "205-391-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERASA L. DAVIS, PSY.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERASA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "205-391-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890010770",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-23502",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Lynn Sutton, OTRL
• Ashraf Ahsan Syed, M.D.
• T Mark Norris (Norris Limb and Brace)
• Danielle Tant, CRNP
• Teresa B. Taylor, M.A,
• The Center for Pain of Montgomery LLC
• The DCH Health Care Authority (DCH Health Care Authority - Rehab)
• The DCH Health Care Authority (DCH Health Care Authority - Psych)
• The Flaherty LLC (Independent Stay HomeCare)
• Heather Thomas, LMFT

• Community/Behavioral Health Agency in Northport, AL
• Providers in Northport, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.