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DR. VICKY J. DAVIS PH.D. CAAC CCJS NPI 1427159631


NPI Information

NPI: 1427159631
Provider Name: DR. VICKY J. DAVIS, PH.D., CAAC, CCJS
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1460 WALTON BLVD STE 202
ROCHESTER HILLS, MI
ZIP 48309
Phone: (248) 601-9990
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DR. Vicky J. Davis, PH.D., CAAC, CCJS is an addiction (substance use disorder) psychologist in Rochester Hills, MI with 34 years of experience. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. Vicky J. Davis, PH.D., CAAC, CCJS NPI is 1427159631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

1460 WALTON BLVD STE 202
ROCHESTER HILLS, MI
ZIP 48309-779
Phone: (248) 601-9990
Fax: (248) 601-9991

The NPI 1427159631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)6301007985MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M86080MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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