Dr Kim Davis, PHD is a
Psychologist - Clinical based in Encino, California. Dr Kim Davis is licensed to practice in California (license number PSY21796) and her current practice location is
16055 Ventura Blvd Ste 1033, Encino, California. She can be reached at her office (for appointments etc.) via phone at
(310) 281-6645.
NPI number for Dr Kim Davis is 1386760387 and her current mailing address is 11738 Otsego St, Valley Village, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386760387.
Healthcare Provider's Profile
Full Name | Dr Kim Davis |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 16055 Ventura Blvd Ste 1033, Encino, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386760387
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 12/26/2018
Medical Identifiers
Medical identifiers for Dr Kim Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386760387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | RPS 2006 098 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY21796 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kim Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kim Davis, PHD 11738 Otsego St, Valley Village, CA 91607-3221 Ph: (310) 709-6020 | Dr Kim Davis, PHD 16055 Ventura Blvd Ste 1033, Encino, CA 91436 Ph: (310) 281-6645 |
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