KASEY L DAVIS (NPI# 1205088721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205088721 |
| Entity Type | Individual |
| Full Name | KASEY L DAVIS |
| Other Name | KASEY L BOLK |
| Credential | PSY.D. |
| Practice Address |
One Children's Place Suite 3n-14 St. Louis MO 63110-1077 |
| Practice Telephone | 3144546069 |
| Practice Fax Number | 3144544013 |
| Mailing Telephone | 3144546069 |
| Mailing Fax Number | 3144544013 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2014-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2758 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2010022046 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43728700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356505952 | Kasey S Davis | Dentist | 2323 Moody Pkwy, Moody, AL 35004-3012 | 2008-07-12 |
| 1528276722 | Kasey Davis | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-19 |
| Street Address |
ONE CHILDREN'S PLACE SUITE 3N-14 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63110-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497583 | Alexa Beck | Psychologist | One Children's Place, Department of Psychology, Suite 3n-14, St. Louis, MO 63110 | 2020-08-13 |
| 1679199764 | Jacob Charles Adney | Pediatrics | One Children's Place, 3s34, St. Louis, MO 63110 | 2020-06-24 |
| 1942795349 | Jacob Thomas Maher | Pediatrics | One Children's Place, 3s34, St. Louis, MO 63110 | 2018-06-27 |
| 1992244867 | Elizabeth Heiny | Occupational Therapist | One Children's Place, Nwt 10206e, St. Louis, MO 63110-1077 | 2017-02-13 |
| 1669929717 | Mary Fogleman | Dietitian, Registered | One Children's Place, St. Louis, MO 63110 | 2016-09-07 |
| 1861844383 | Mohamad Hassan Toufaily | Pediatrics | One Children's Place, 3s34, St. Louis, MO 63112 | 2016-07-08 |
| 1932549003 | Kavya Reddy | Pediatrics | One Children's Place, 3s34, St. Louis, MO 63110 | 2013-07-03 |
| 1447505375 | Diwakar Turaga | Pediatrics | One Children's Place, 3s34, St. Louis, MO 63110 | 2012-07-17 |
| 1659659068 | Marjorie Vasquez Launico | Pediatrics | One Children's Place, 3s34, St. Louis, MO 63110 | 2011-08-02 |
| 1427287275 | Piyaporn Chuen-im | Student in an Organized Health Care Education/Training Program | One Children's Place, St. Louis, MO 63110 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770991762 | Bridget Martin Sheahan | Psychologist | 2821 North Ballas Roa, Suite C-39 Town and Country Medical Building, St. Louis, MO 63131-2313 | 2014-07-23 |
| 1366762577 | Anthony Udziela Phd LLC | Psychologist | 13354 Manchester Road, Suite 220, St. Louis, MO 63131-1739 | 2010-06-10 |
| 1871828442 | Sean M Engelkemeyer | Psychologist | 1 Jefferson Barracks Dr (116/jb), St. Louis Va Medical Center, St. Louis, MO 63125-4181 | 2009-10-15 |
| 1003033572 | Zoe D. Peterson | Psychologist | 1 University Blvd., Community Psychological Service, University of Missouri-st. Louis, St. Louis, MO 63131 | 2007-04-19 |
| 1679636070 | Lynn J. Mcdaniel | Psychologist | 11144 Tesson Ferry Rd Ste 101, St. Louis, MO 63123-6965 | 2006-12-18 |
| 1568531150 | Jane G Grady | Psychologist | 222 S Meramec Ave, Suite 201, St. Louis, MO 63105-3514 | 2006-11-07 |
| 1386725539 | Samuel Joel Marwit | Psychologist | 7411 Clayton Rd., Suite 106, St. Louis, MO 63117 | 2006-10-17 |
| 1801859632 | James Herman Wallhermfechtel | Psychologist | Mental Health 116ajb, One Jefferson Barracks, St. Louis, MO 63125 | 2006-04-11 |
| 1801859749 | Thomas Michael Jadlos | Psychologist | St. Louis Va Medical Center, 1 Jefferson Barracks Dr., Ms 116a/jb, St. Louis, MO 63125 | 2006-04-11 |
| 1568649663 | Kimberly Buffkins | Psychologist | 12303 Depaul Dr., St. Louis, MO 63044 | 2008-01-31 |
| Find all providers in ST. LOUIS | ||||
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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.