Dr Rodney Lee Davis Jr, LADC, LSW, LPC, PSYA is a medicare enrolled "Psychologist" provider in Waterbury, Connecticut. He graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
Po Box 305, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 565-1403.
Dr Rodney Lee Davis Jr is licensed to practice in California (license number PSB94029549) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891414918.
Healthcare Provider's Profile
| Full Name | Dr Rodney Lee Davis Jr |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | Po Box 305, Waterbury, Connecticut |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Rodney Lee Davis Jr graduated from medical school in 2023
NPI Data:
- NPI Number: 1891414918
- Provider Enumeration Date: 08/23/2022
- Last Update Date: 04/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 7618442583
- Enrollment ID: I20260408001591
Medical Identifiers
Medical identifiers for Dr Rodney Lee Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891414918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1216 (Connecticut) | Secondary |
| 101YP2500X | Counselor - Professional | 46.008556 (Connecticut) | Secondary |
| 104100000X | Social Worker | 44SL07335300 (New Jersey) | Secondary |
| 103T00000X | Psychologist | PSB94029549 (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 Rodney Lee Davis Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rodney Lee Davis Jr, LADC, LSW, LPC, PSYA
Po Box 305,
Waterbury, CT 06720-0305
Ph: () - | Dr Rodney Lee Davis Jr, LADC, LSW, LPC, PSYA
Po Box 305,
Waterbury, CT 06720-0305
Ph: (203) 565-1403 |
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