TERASA L. DAVIS, PSY.D., PC (NPI# 1992175426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992175426 |
| Entity Type | Organization |
| Organization Name | TERASA L. DAVIS, PSY.D., PC |
| Practice Address |
5690 Watermelon Rd Suite 310 Northport AL 35473-5004 |
| Practice Telephone | 2053919777 |
| Practice Fax Number | 2053919766 |
| Mailing Telephone | 2053919777 |
| Mailing Fax Number | 2053919766 |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2015-09-27 |
| Authorized Official Name | DR. TERASA L DAVIS (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2053919777 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 906 | AL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 890010770 | 05 | |
| AL | BCBS | 515-23502 | 01 |
| Street Address |
5690 WATERMELON RD SUITE 310 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1841698305 | Uniquely Different, LLC | Community/Behavioral Health | 1002 Mcfarland Blvd Ste G, Northport, AL 35476-3350 | 2014-12-16 |
| 1871830646 | At Home Independent Living Inc. | Community/Behavioral Health | 4004 41st St, Northport, AL 35473-2308 | 2013-01-13 |
| 1225305972 | Mary Louise Kemp | Community/Behavioral Health | 2710 Deer Haven Dr, Northport, AL 35473-3048 | 2011-11-23 |
| 1609154970 | Anissa R Ball | Community/Behavioral Health | 3120 Mcfarland Blvd, Ste 10, Northport, AL 35476-3198 | 2011-08-03 |
| 1245522283 | Family Solutions of Long Island Inc | Community/Behavioral Health | 49 West Fort Salonga Road, Northport, NY 11768-1436 | 2011-05-10 |
| 1194931410 | Capstone Family Therapy Clinic | Community/Behavioral Health | 12017 Grandview Dr, Northport, AL 35475-2650 | 2007-05-15 |
| 1508233990 | Anna Marshall Counseling Services LLC | Community/Behavioral Health | 720 Energy Center Blvd Ste 502, Northport, AL 35473-2794 | 2015-09-01 |
| 1639457922 | Bell Curry Turner | Community/Behavioral Health | 3120 Mcfarland Blvd, Ste 10, Northport, AL 35476-3198 | 2011-08-03 |
| 1396023669 | Rose Curry Hill | Community/Behavioral Health | 3120 Mcfarland Blvd, Ste 11, Northport, AL 35476-3198 | 2011-08-03 |
| Find all providers in NORTHPORT | ||||
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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.