DR. JEREMY J DAVIS (NPI# 1922394220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922394220 |
Entity Type | Individual |
Full Name | DR. JEREMY J DAVIS |
Credential | PSY.D. |
Practice Address |
30 N 1900 E 1r55 Salt Lake City UT 84132-0002 |
Practice Telephone | 8015812932 |
Mailing Telephone | 8015812932 |
Enumeration Date | 2011-06-24 |
Last Update Date | 2011-11-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 8081803-2501 | UT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
1013291210 | Jeremy Davis | Pharmacist | 9285 Halls Ferry Rd., Jennings, MO 63136 | 2011-10-06 |
1538156062 | Jeremy Franklin Davis | Podiatrist | 335 E Waterloo Rd, Akron, OH 44319-1218 | 2005-09-30 |
1205464476 | Jeremy Davis | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-03-31 |
1013549476 | Jeremy Troy Davis | Student in an Organized Health Care Education/Training Program | 1025 Atlantic Ave, Alameda, CA 94501-1189 | 2020-02-04 |
1407418957 | Jeremy L. Davis | Nurse Practitioner | 50 Harrison St Ste 212f, Hoboken, NJ 07030-6087 | 2019-07-05 |
1548720162 | Jeremy P Davis | Student in an Organized Health Care Education/Training Program | 1900 10th Ave Ste 100, Columbus, GA 31901-3601 | 2019-03-20 |
1316426521 | Jeremy Davis | Social Worker | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2018-08-08 |
1982055620 | Jeremy Davis | Pharmacist | 164 E Main St, Rexburg, ID 83440-1912 | 2016-06-23 |
1760832927 | Jeremy Davis | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-20 |
Street Address |
30 N 1900 E 1R55 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84132-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346238219 | Erin R Harward | Genetic Counselor, MS | 30 N 1900 E, Neurology, University of Utah, Salt Lake City, UT 84132-0002 | 2005-10-13 |
1962029611 | Alexia Rae Searle | Nurse Practitioner | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-06-29 |
1538783055 | Melinda Orr | Nurse Practitioner | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-06-01 |
1588286579 | Peter Joel Christiansen | Physician Assistant | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-05-12 |
1700415940 | Michael Zou | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-08 |
1356970933 | Nathan Davidson | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-05 |
1568091478 | Kartemus O'neal Heary | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-02 |
1336777432 | Casey Fenger | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-01 |
1265060644 | Jeremy Smith | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-03-31 |
1396373718 | Campbell Walter Miller | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-03-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
Find all providers in zip 84132 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770954356 | Erin Elizabeth Krauskopf | Clinical Neuropsychologist | 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 | 2015-10-08 |
1528469947 | Jordan Harris Rigby | Clinical Neuropsychologist | 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 | 2014-09-05 |
1154565729 | Keith Mcgoldrick | Clinical Neuropsychologist | 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 | 2009-04-27 |
1356593297 | Dustin Bradshaw Hammers | Clinical Neuropsychologist | 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 | 2008-10-22 |
1770612863 | Elaine Clark | Clinical Neuropsychologist | 501 Chipita Way, Univ of Utah Neuropsychiatric Institute, Salt Lake City, UT 84108 | 2007-03-05 |
1245251776 | Kelly D Garrett | Clinical Neuropsychologist | 333 South 900 East, Salt Lake City, UT 84102-2310 | 2006-07-21 |
1831150374 | Juan A. Mejia | Clinical Neuropsychologist | 327 Denver St, Salt Lake City, UT 84111-3002 | 2006-03-31 |
1295720969 | Kevin Duff | Clinical Neuropsychologist | 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 | 2005-09-19 |
1518453406 | Joseph Un Kim | Clinical Neuropsychologist | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2018-07-03 |
1912362591 | Kelly Konopacki | Clinical Neuropsychologist | 501 Chipeta Way, Salt Lake City, UT 84108 | 2015-12-23 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84132 |
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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.