MR. ROBERT B DAVIS (NPI# 1528110830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528110830 |
| Entity Type | Individual |
| Full Name | MR. ROBERT B DAVIS |
| Other Name | MR. ROBERT B DAVIS |
| Credential | LCSW |
| Practice Address |
11 Boat Ln Port Washington NY 11050-1729 |
| Practice Telephone | 5166988851 |
| Mailing Telephone | 5166988851 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R036463 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PROVIDER NUMBER | 172355 | 01 |
| NY | SELF | 1528110830 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1518584077 | Robert Ray Davis | Technician | 1519 Mulberry Salem Rd, Benton, AR 72019-8253 | 2020-07-01 |
| 1487200366 | Robert Davis II | Case Manager/Care Coordinator | 9721 Southern Oaks Dr, Midwest City, OK 73130-5410 | 2019-08-15 |
| 1285292268 | Robert A Davis | Dentist | 248 S Main St, Barre, Vt 05641, Barre, VT 05641 | 2019-06-04 |
| 1497319198 | Robert Ralph Davis | Licensed Practical Nurse | 1222 Albany Post Rd, Gardiner, NY 12525-5504 | 2019-04-28 |
| 1972012714 | Robert L Davis | Internal Medicine | 107 Forsythia Dr N, Levittown, PA 19056 | 2017-09-25 |
| 1225569478 | Robert Davis II | Physical Therapy Assistant | 19 S Woodlawn Ave, Apt 1, Aldan, PA 19018-3916 | 2017-03-21 |
| 1114393105 | Robert Davis | Licensed Vocational Nurse | 821 1/2 W Balboa Blvd, Newport Beach, CA 92661-1107 | 2015-08-13 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1275957847 | Robert Davis Sr. | Student in an Organized Health Care Education/Training Program | 102 S. 11th Street, San Jose, CA 95112 | 2014-02-18 |
| Street Address |
11 BOAT LN |
| City | PORT WASHINGTON |
| State | NY |
| Zip Code | 11050-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
| 1720472525 | Dominique Neebe | Specialist | 141 Middleneck Road, Sands Point, NY 11050 | 2015-03-19 |
| 1902237316 | Cheryl Goldfarb | Speech-Language Pathologist | 11 Leeds Drive, Port Washington, NY 11050 | 2013-12-11 |
| 1467722454 | Robert Cerpa | Psychologist | 6 Morewood Oaks, Manorhaven Elementary School, Port Washington, NY 11050 | 2012-01-06 |
| 1043515828 | Tak Wai Chau | Social Worker | 36 Rockwood Ave, Port Washingto, NY 11050 | 2011-01-25 |
| 1073823167 | Donna Lee Kosina | Occupational Therapist | 10 Maple Dr., Port Washington, NY 11050 | 2010-10-07 |
| 1962710467 | Alicia Marie Leporati | Counselor | 9 Graywood Rd, Port Washington, NY 11050 | 2010-09-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1376778142 | Ellen J Satloff | Social Worker | 14 Terrace Drive, Port Washington, NY 11050 | 2009-05-22 |
| 1376707547 | Port Washington Dental Associates | Clinic/Center | 18 Haven Ave, Port Washington, NY 11050 | 2008-07-16 |
| Find all providers in zip 11050 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770955130 | Vickie Finch | Counselor | 1089 Westport Dr Apt 249, Port Washington, WI 53074-2482 | 2015-10-26 |
| 1952403966 | Vernon Wayne Forman | Counselor | 722 S Spring St, Port Washington, WI 53074-2334 | 2006-09-01 |
| 1013931625 | Horizon Healthcare, Inc | Counselor | 101 E. Pier Street, Port Washington, WI 53074-2242 | 2006-07-27 |
| 1356332464 | Dawn M Zak | Counselor | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2005-10-31 |
| 1306124664 | Lawrence Daniel Dubin | Counselor | 225 Main Street, Port Washington, NY 11050 | 2011-08-03 |
| 1417235086 | Fran Gross | Counselor | 225 Main St., Port Washington, NY 11050 | 2011-07-29 |
| 1184912669 | Sven Bodo Feyler | Counselor | 225 Main Street, Port Counseling, Port Washington, NY 11050 | 2011-07-18 |
| 1386931632 | Carlos A. Buitrago | Counselor | 225 Main Street, Port Washington, NY 11050 | 2011-07-07 |
| 1942597331 | Agnes M. Lasetchuk | Counselor | 225 Main St., Port Washington, NY 11050-3211 | 2011-07-06 |
| 1225045776 | Carol Falk | Counselor | 101 E Pier St, Port Washington, WI 53074-1939 | 2006-08-01 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 11050 |
Please comment or provide details below to improve the information on MR. ROBERT B DAVIS.
| 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.