DR. KENNETH P DAVIS


Address: 821 W Van Buren St, Chicago, IL 60607-3517
Phone: 3124910404

DR. KENNETH P DAVIS (NPI# 1205040771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205040771
Entity Type Individual
Full Name DR. KENNETH P DAVIS
Practice Address 821 W Van Buren St
Chicago
IL 60607-3517
Practice Telephone 3124910404
Mailing Telephone 3124910404
Enumeration Date 2007-05-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 1541 WI Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
071-004444 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 036071836 05
WI 39010900 05

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Office Location

Street Address 821 W VAN BUREN ST
City CHICAGO
State IL
Zip Code 60607-3517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003063421 Professional Diagnostic Service, S.c. Community/Behavioral Health 821 W Van Buren St, Chicago, IL 60607-3517 2008-08-27

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

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Competitor

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City CHICAGO
Zip Code 60607

Improve Information

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Dataset Information

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.

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