DR. JESSICA DAVIS (NPI# 1760866271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760866271 |
| Entity Type | Individual |
| Full Name | DR. JESSICA DAVIS |
| Credential | PSYD LP |
| Practice Address |
900 Long Lake Rd Suite 160 New Brighton MN 55112-6428 |
| Practice Telephone | 6127069630 |
| Mailing Telephone | 6127069630 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP6049 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780216861 | Jessica Nichole Davis | Physical Therapist | 1413 W Broadway Ave, Maryville, TN 37801-3121 | 2020-02-06 |
| 1629534367 | Jessica Davis | Homemaker | 307 N Georgia Ave # 307, Cocoa, FL 32922-6222 | 2019-02-19 |
| 1265906549 | Jessica Alexis Davis | Behavioral Analyst | 210 Talsrock Way Ste 3, Cary, NC 27519-1906 | 2019-01-19 |
| 1346758430 | Jessica Nicole Davis | Student in an Organized Health Care Education/Training Program | 2300 8th Ave S Apt 448, Nashville, TN 37204-2475 | 2018-01-11 |
| 1346768272 | Jessica Amiee Davis | Doula | 5805 E 40th Ter, Kansas City, MO 64129-1713 | 2017-08-30 |
| 1154845782 | Jessica Lynn Davis | Social Worker | 530 Beacon Pkwy W Ste 401, Birmingham, AL 35209-3196 | 2017-07-26 |
| 1699213769 | Jessica Davis | Nutritionist | 9404 Mayflower Ct, Laurel, MD 20723-1747 | 2017-02-08 |
| 1922543891 | Jessica Davis | Licensed Practical Nurse | 1111 Oakhill St, Seffner, FL 33584-4513 | 2016-12-30 |
| 1427506054 | Jessica Davis | Nurse Practitioner | 1824 Dimond Dr, Anchorage, AK 99507-1308 | 2016-09-12 |
| 1033584636 | Jessica Renee Davis | Social Worker | 314 N Front St, Apt A Second Floor, Wormleysburg, PA 17043-1112 | 2015-12-08 |
| Street Address |
900 LONG LAKE RD SUITE 160 |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200698 | Loren Paul Hubin | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-08-08 |
| 1780206888 | Stacy Smith Donley | Marriage & Family Therapist | 900 Long Lake Rd, New Brighton, MN 55112-6428 | 2020-05-12 |
| 1225580897 | Jordan Lindh, Psy.d., Lp L.L.C. | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2016-10-31 |
| 1831566991 | Laura Stephan | Psychologist | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6428 | 2015-08-25 |
| 1902232549 | Jordan Lindh | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2013-09-14 |
| 1558646836 | Julia E Kidwell | Psychologist | 900 Long Lake Rd, Suite #320, New Brighton, MN 55112-6428 | 2011-10-18 |
| 1003947102 | Preferred Choice Pharmacy | Pharmacy | 900 Long Lake Rd, Ste 150, New Brighton, MN 55112-6428 | 2007-03-08 |
| 1033276753 | Charles Richmond | Marriage & Family Therapist | 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112-6428 | 2007-01-02 |
| 1083778708 | Medical Care Services, Pa | Family Medicine | 900 Long Lake Rd, Ste 106, New Brighton, MN 55112-6414 | 2006-12-20 |
| 1669576278 | Arden Woods Psychological Services Pa | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164711735 | North Central Ministry Development Center, Inc. | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2011-04-04 |
| 1396071023 | Jason Ting Li | Psychologist | 1501 28th Ave Nw, New Brighton, MN 55112-1743 | 2009-10-31 |
| 1760493936 | Shawn Lee Hofer | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2006-08-11 |
| 1841200698 | Loren Paul Hubin | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-08-08 |
| 1255949533 | The Woodland Center for Psychotherapy | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2020-07-22 |
| 1326531724 | Dr. Rebecca Hern, Pllc | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2018-06-11 |
| 1649793779 | Jennifer Lindh, Ph.d., Lp LLC | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2017-07-20 |
| 1033643903 | Rachel Rose Hulkonen | Psychologist | 900 Long Lake Rd Ste 160, New Brighton, MN 55112-6414 | 2017-04-17 |
| 1225580897 | Jordan Lindh, Psy.d., Lp L.L.C. | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2016-10-31 |
| 1689039901 | Rebecca Hern | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112 | 2015-12-31 |
| Find all providers in NEW BRIGHTON | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
Please comment or provide details below to improve the information on DR. JESSICA 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.