DR. AMY SUZANNE DAVIS (NPI# 1497003354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497003354 |
| Entity Type | Individual |
| Full Name | DR. AMY SUZANNE DAVIS |
| Credential | PSY.D. |
| Practice Address |
500 W Broadway St Missoula MT 59802-4008 |
| Practice Telephone | 4063271670 |
| Practice Fax Number | 4063295697 |
| Mailing Telephone | 4063271670 |
| Mailing Fax Number | 4063295697 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1994 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475173 | Amy Diane Davis | Nurse Practitioner | 588 Lily Ln, Hanson, KY 42413-8500 | 2020-04-03 |
| 1902395098 | Amy Leigh Davis | Speech-Language Pathologist | 5900 Little Falls Rd, Arlington, VA 22207-1344 | 2018-05-04 |
| 1568908465 | Amy Mackenzie Davis | Behavior Technician | 10260 Nw 48th Ct, Coral Springs, FL 33076-1717 | 2017-01-16 |
| 1891157772 | Amy Elizabeth Davis | Midwife | 993 Dowitcher Dr, Satellite Beach, FL 32937-2872 | 2016-03-22 |
| 1205242583 | Amy Lynn Davis | Counselor | 620 Julmar Cir, Fairfield, CA 94534-4214 | 2014-07-07 |
| 1386057644 | Amy Cameron Davis | Counselor | 3110 S Wadsworth Blvd Ste 308, Denver, CO 80227-4810 | 2014-06-04 |
| 1932538345 | Amy Davis | Community Health Worker | 4304 Coburn Pl, Raleigh, NC 27616-7971 | 2013-11-06 |
| 1225311723 | Amy Maree Davis | Counselor | 1276 W River Street, Suite 100, Boise, ID 83702-7066 | 2011-09-21 |
| 1346532413 | Amy M. Davis | Counselor | 617 E Jefferson St, Morris, IL 60450-2310 | 2011-05-09 |
| 1952616344 | Amy Davis | Social Worker | 1851 Columbus St, Ottawa, IL 61350-1528 | 2010-08-10 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164760237 | Bryan Neil Cochran | Psychologist | Sb143 Dept of Psychology, Missoula, MT 59812-0001 | 2013-01-24 |
| 1639373939 | M.j.h.h., Inc. | Psychologist | 445 S 5th St W, Missoula, MT 59801-2619 | 2007-06-12 |
| 1013110113 | Janet P. Wollersheim | Psychologist | 1900 Brooks St, Missoula, MT 59801-6644 | 2007-06-06 |
| 1861694119 | Ammons Psychological Services, Pllc | Psychologist | 2831 Fort Missoula Rd Ste 201, Physicians' Center #2, Missoula, MT 59804-7401 | 2007-05-31 |
| 1245357177 | Nadine M. Wisniewski | Psychologist | 27 Fort Missoula Rd, Ste B4, Missoula, MT 59804-7206 | 2007-03-24 |
| 1841324738 | Craig Harold Ravesloot | Psychologist | 101 E Broadway St Ste 310, Missoula, MT 59802-4510 | 2007-03-15 |
| 1629127063 | Christine Fiore | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2007-01-08 |
| 1083778351 | David Schuldberg | Psychologist | 1444 Mansfield, (cpc), Missoula, MT 59812-1584 | 2006-12-21 |
| 1609942069 | Danette M Wollersheim | Psychologist | 129 W Kent Ave, Ste I, Missoula, MT 59801-6730 | 2006-11-28 |
| 1790855443 | Cindy L Miller | Psychologist | 1805 Bancroft, Ste I, Missoula, MT 59801 | 2006-11-09 |
| Find all providers in MISSOULA | ||||
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| 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.