PHILIP MICHAEL DAVIS (NPI# 1770723900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770723900 |
| Entity Type | Individual |
| Full Name | PHILIP MICHAEL DAVIS |
| Practice Address |
1017 Tennessee St Vallejo CA 94590-4547 |
| Practice Telephone | 7076471520 |
| Practice Fax Number | 7076471513 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952846388 | Philip Davis | Psychologist | 453 W 1500 S, Bountiful, UT 84010-7478 | 2016-12-20 |
| 1184012197 | Philip Davis | Pharmacist | 3221 Peachtree Rd Ne, Atlanta, GA 30305-2414 | 2014-12-26 |
| 1144678137 | Philip Stanley Davis | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2016-05-31 |
| 1427435155 | Philip Minter Davis II | Dentist | 1940 S Tuttle Ave, Sarasota, FL 34239-3114 | 2015-05-01 |
| 1386058733 | Philip M Davis | Emergency Medicine | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Ft. Hood, TX 76544 | 2014-06-13 |
| 1285904383 | Philip V Davis | Nurse Practitioner | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-01-05 |
| 1750690459 | Philip Carson Davis | Social Worker | 709 Davidson St, Tullahoma, TN 37388-3607 | 2010-09-28 |
| 1174617302 | Philip J. Davis | Psychologist | 5502 58th St, Suite 600, Lubbock, TX 79414-2000 | 2006-10-03 |
| 1497787717 | Philip R. Davis | Internal Medicine | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-07 |
| 1174507271 | Philip D Davis | Internal Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-01 |
| Street Address |
1017 TENNESSEE ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124180385 | Youth and Family Services | Community/Behavioral Health | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2006-12-14 |
| 1013284686 | Tracy Jean Royer | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2011-11-25 |
| 1427336114 | William Joseph Ramsdal | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2011-07-28 |
| 1902129885 | John Paul O'neil | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2010-03-08 |
| 1063646297 | Alton Sanders | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2009-05-01 |
| 1396986394 | .stephan L Johnson | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2009-03-20 |
| 1760633200 | Tehauna Souix Ponce | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2008-10-02 |
| 1154572816 | Golnaz P Fortune | Student in an Organized Health Care Education/Training Program | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2008-09-30 |
| 1003065194 | Ned L Jacobs | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2008-09-12 |
| 1093964306 | Teresa Marie Arellano | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067850 | Rachel Rix | Counselor | 201 Maine St Apt D3, Vallejo, CA 94590-5817 | 2020-09-11 |
| 1841845500 | Raelynn Ila Irene Foster | Counselor | 401 Stinson St Apt 8, Vallejo, CA 94591-6416 | 2019-08-08 |
| 1770145252 | Kennisha Allen | Counselor | 285 Larissa Ln, Vallejo, CA 94590-7601 | 2019-07-03 |
| 1972068203 | William Paul Mcdougall Iv | Counselor | 2521 Alameda St, Vallejo, CA 94590-2403 | 2019-01-31 |
| 1740754019 | Loren Cluke | Counselor | 116 El Dorado St, Vallejo, CA 94590-6945 | 2019-01-18 |
| 1194232827 | Kimberley Marie Matthews | Counselor | 117 Power Dr Apt B, Vallejo, CA 94589-3418 | 2018-01-03 |
| 1316477664 | Matthew Friend Ausfahl | Counselor | 1628 Broadway St Ste A, Vallejo, CA 94590-2405 | 2017-06-19 |
| 1467802926 | Ronald Gensler | Counselor | 1109 Porter St Apt B, Vallejo, CA 94590-7909 | 2016-06-15 |
| 1881040418 | Nathan Hill | Counselor | 1313 Colusa St, Vallejo, CA 94590-3332 | 2016-05-12 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| Find all providers in VALLEJO | ||||
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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.