DR. EILEEN MATIAS DAVIS (NPI# 1740714948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740714948 |
| Entity Type | Individual |
| Full Name | DR. EILEEN MATIAS DAVIS |
| Credential | PH.D. |
| Practice Address |
1601 Nw 12th Ave Suite 4059 Miami FL 33136-1005 |
| Practice Telephone | 3052430234 |
| Mailing Telephone | 3052430234 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY9702 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437407889 | Eileen Rebecca Davis | Licensed Practical Nurse | 132 W Branch Rd, Barto, PA 19504-9226 | 2012-08-16 |
| 1023105822 | Eileen Mary Davis | Family Medicine | 201 W Market St, Georgetown, DE 19947 | 2006-10-05 |
| 1235407743 | Eileen Davis | Registered Nurse | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2011-12-12 |
| 1457658148 | Eileen Davis | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2011-02-16 |
| 1588805154 | Eileen Sheryl Davis | Counselor | 9415 E Trent Ave, Spokane Valley, WA 99206-4218 | 2009-03-11 |
| 1467616375 | Eileen M Davis | Registered Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-07-10 |
| 1467629691 | Eileen Susan Davis | Massage Therapist | 2505 Foresight Cir, Unit C-2, Grand Junction, CO 81505-1081 | 2008-05-16 |
| 1003998733 | Eileen J Davis | Hearing Instrument Specialist | 27 Hartford Tpke, Vernon, CT 06066-5245 | 2006-10-20 |
| 1730108663 | Eileen Y. Davis | Nurse Practitioner | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-07-19 |
| 1134145089 | Eileen Terese Davis | Nurse Practitioner | 718 Teaneck Rd, Holy Name Hospital Clinic, Teaneck, NJ 07666-4245 | 2006-07-14 |
| Street Address |
1601 NW 12TH AVE SUITE 4059 |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932171196 | Lesley Jacqueline Smith | Pediatrics | 1601 Nw 12th Ave, Mailman Center 3005a, Div Peds Gi & Nutriton, Miami, FL 33136-1005 | 2006-02-02 |
| 1871131383 | Nancy Cruz | Specialist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2019-12-16 |
| 1750870341 | Cara Axelrod | Dietitian, Registered | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2018-05-09 |
| 1447750260 | Sadie Vega-velasquez | Speech-Language Pathologist | 1601 Nw 12th Ave, 5065, Miami, FL 33136 | 2018-02-19 |
| 1851819130 | Milvia Tellez | Nurse Practitioner | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-09-06 |
| 1457872749 | Daniela Marie Berrios | Speech-Language Pathologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-06-28 |
| 1750815056 | Allison Weinstein | Psychologist | 1601 Nw 12th Ave, 4018a, Miami, FL 33136-1005 | 2017-04-13 |
| 1902350838 | Sandra Ibanez | Counselor | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-08-09 |
| 1538512660 | Brittani Houston | Audiologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-07-13 |
| 1962863118 | Awilda Gonzalez | Developmental Therapist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1295083376 | Carolina Avila | Psychologist | 1695 Nw 9th Ave Ste 2516, Miami, FL 33136-1409 | 2012-08-21 |
| 1114252947 | Mercedes C. Garcia | Psychologist | 14221 Sw 120th St Ste 118, Miami, FL 33186-7463 | 2009-10-13 |
| 1144485673 | Daniel Marc Bagner | Psychologist | 11200 Sw 8th St Fiu Center for Children and Families, Miami, FL 33199-2659 | 2008-07-24 |
| 1437327129 | Magalis Aguilera | Psychologist | 9745 Sunset Dr, Suite 218, Miami, FL 33173-4652 | 2008-02-14 |
| 1275751125 | Susan Rose Chalfin | Psychologist | 1695 Nw 9th Avenue, Room 1517a, Miami, FL 33136 | 2007-04-23 |
| 1396222840 | Marina Villani Capo | Psychologist | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2018-07-26 |
| 1730624818 | Susan Acosta, Phd | Psychologist | 7700 N Kendall Dr, Miami, FL 33156-7564 | 2016-12-28 |
| 1194277756 | Pediatric Specialty Group, Inc. | Psychologist | 3100 Sw 62nd Ave, Department of Psychology, Miami, FL 33155-3009 | 2016-10-31 |
| Find all providers in MIAMI | ||||
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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.