Dr. Trevor Davis, PsyD
Psychologist in Seattle, WA. Individual provider (NPI-1).
NPI number1124207014
StatusActive
Last updated in NPPESJan 27, 2020
Details
- NPI
- 1124207014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Trevor Davis
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2007
- Certification date
- Jan 27, 2020
- Last updated
- Jan 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Jan 26, 2024 to Jan 26, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY60334929 | WA | Yes |
Practice location
1415 W Dravus StSeattle, WA 98119-1716
Phone 360-200-4341
Mailing address
1800 10th Ave WSeattle, WA 98119-2948
Phone 206-501-8197
Other practice locations
3710 Sw Us Vetrn Hosp Rd
Portland, OR 97239-2964
Portland, OR 97239-2964
Phone 503-220-8262
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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