DR. JACLYN MICHELLE DAVIS (NPI# 1477833176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477833176 |
| Entity Type | Individual |
| Full Name | DR. JACLYN MICHELLE DAVIS |
| Other Name | MS. JACLYN MICHELLE STADT |
| Credential | PH.D. |
| Practice Address |
1515 S Capital of Texas Hwy Ste 200 Austin TX 78746-6544 |
| Mailing Address |
1045 S Cedar Crest Blvd Allentown PA 18103-5443 |
| Practice Telephone | 5126491742 |
| Mailing Telephone | 6104333360 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS017996 | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
38202 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2245 Walbert Ave, Allentown, PA 181041358 | 5126491742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375659 | Jaclyn Davis | Technician | 10526 Sw Otis Walden Rd, Clarksville, FL 32430-2665 | 2019-09-17 |
| 1285937656 | Jaclyn Davis | Massage Therapist | 127 N Chestnut St, Assumption, IL 62510-1003 | 2010-12-07 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1194238717 | Jaclyn Marie Davis | Occupational Therapist | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-11-06 |
| 1700237955 | Jaclyn Irene Davis | Pediatrics | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-29 |
| 1750682621 | Jaclyn A Davis | Counselor | 145 1st St, Fort Lupton, CO 80621-2002 | 2010-11-09 |
| 1346566551 | Jaclyn Leigh Davis | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2010-04-13 |
| 1578720686 | Jaclyn Carey Davis | Pediatrics | 1 Gustave L Levy Place, Box 1208, New York, NY 10029-6574 | 2008-05-19 |
| Street Address |
1515 S CAPITAL OF TEXAS HWY STE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746-6544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218558 | Wise Zen Therapy, Pllc | Social Worker | 1515 S Capital of Texas Hwy Ste 200, Austin, TX 78746-6544 | 2020-09-01 |
| 1811542707 | Empowered Wholeness, Pllc | Psychologist | 1515 S Capital of Texas Hwy Ste 200, Austin, TX 78746-6544 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| 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 |
|---|---|---|---|---|
| 1619503497 | Kim Praderas Pllc | Psychologist | 3301 Northland Dr Ste 320, Austin, TX 78731-4952 | 2020-03-12 |
| 1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
| 1528618774 | Psicologia Psychology Pllc | Psychologist | 2500 W William Cannon Dr Ste 703, Austin, TX 78745-5252 | 2019-09-18 |
| 1023574761 | Con Alma Therapy, Pllc | Psychologist | 2222 Western Trails Blvd Ste 107, Austin, TX 78745-1601 | 2019-02-19 |
| 1831660364 | Neisha Hootman | Psychologist | 5555 N Lamar Blvd Ste E125, Austin, TX 78751-1052 | 2018-12-10 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1346736741 | Samuel Andrew Donaldson | Psychologist | 1308 Walnut Ave, Austin, TX 78702-1530 | 2018-07-09 |
| 1194214940 | Emily B. Kerzin | Psychologist | 3006 Bee Caves Rd, Ste. D-310, Austin, TX 78746 | 2018-05-08 |
| 1740797596 | Serena Messina | Psychologist | 1907 N Lamar Blvd Ste 230, Austin, TX 78705-4929 | 2018-01-02 |
| 1215446067 | Dr. Barbara Lee Corff Pllc | Psychologist | 12343 Hymeadow Dr Ste 3b, Austin, TX 78750-1858 | 2017-09-25 |
| Find all providers in AUSTIN | ||||
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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.