DR. KENNETH P DAVIS (NPI# 1205040771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205040771 |
| Entity Type | Individual |
| Full Name | DR. KENNETH P DAVIS |
| Practice Address |
821 W Van Buren St Chicago IL 60607-3517 |
| Practice Telephone | 3124910404 |
| Mailing Telephone | 3124910404 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 1541 | WI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
071-004444 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036071836 | 05 | |
| WI | 39010900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480645 | Kenneth Davis | Pharmacist | 60 Hospital St, Cadiz, KY 42211-7970 | 2016-08-02 |
| 1336567767 | Kenneth Davis | Contractor | 8908 E Mint Cir, Palmer, AK 99645-8053 | 2014-04-02 |
| 1750707931 | Kenneth Roger Davis | Internal Medicine | 315 N 71st St, Seattle, WA 98103-5019 | 2014-03-11 |
| 1649601774 | Kenneth L Davis | Counselor | 1404 E. 11th Avenue, Spokane, WA 99202 | 2013-11-27 |
| 1124384359 | Kenneth Wayne Davis | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2012-04-02 |
| 1134458045 | Kenneth Carter Davis | Occupational Therapist | 2 Post Rd, Warwick, RI 02888-1607 | 2009-12-24 |
| 1942444948 | Kenneth Scott Davis | Psychiatry & Neurology | 1837 Edenside Ave, Louisville, KY 40204-1521 | 2009-04-22 |
| 1740301886 | Kenneth William Davis | Chiropractor | 381 Palm Coast Pkwy Sw, Unit 2, Palm Coast, FL 32137-4781 | 2007-04-03 |
| 1760499198 | Kenneth James Davis | Pharmacist | 326 Doyle St W, Toccoa, GA 30577-2314 | 2006-08-01 |
| 1598789026 | Kenneth William Davis | Marriage & Family Therapist | 948 11th St, Suite 11 H, Modesto, CA 95354-2308 | 2006-07-27 |
| Street Address |
821 W VAN BUREN ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003063421 | Professional Diagnostic Service, S.c. | Community/Behavioral Health | 821 W Van Buren St, Chicago, IL 60607-3517 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1235750860 | Dia Anjali Mason | Psychologist | 1234 N Kedzie Ave, Chicago, IL 60651-2408 | 2020-05-05 |
| 1811532880 | Emily Wolodiger | Psychologist | 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 | 2019-11-13 |
| 1518500099 | Allow Wellness LLC | Psychologist | 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 | 2019-10-28 |
| 1619510914 | Keeshawna Brooks | Psychologist | 325 N Wells St Ofc 523, Chicago, IL 60654-7024 | 2019-10-20 |
| 1104468800 | Emotion-focused Therapy Chicago, LLC | Psychologist | 230 E Ohio St Ste 405, Chicago, IL 60611-5288 | 2019-10-14 |
| 1124660022 | Lynne Lieberman | Psychologist | 325 S Paulina St, Chicago, IL 60612-3206 | 2019-10-11 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.