SHOSHANA ROSE DAVIS AMFT
NPI 1013484773
Marriage & Family Therapist in Sebastopol, CA
About Shoshana Rose Davis Amft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOSHANA ROSE DAVIS AMFT (NPI 1013484773) is an individual marriage & family therapist in Sebastopol, California, licensed in California (AMFT110154) and active in the NPI registry since October 2018. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Shoshana Rose Davis Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shoshana Davis's NPI number?
The NPI number for Shoshana Davis is 1013484773. It was assigned to this individual provider in the NPPES registry on October 30, 2018.
Where is Shoshana Davis located?
Shoshana Davis practices at 7765 Healdsburg Ave, Sebastopol, CA 95472. The listed phone number is (707) 696-9648.
What is Shoshana Davis's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Shoshana Davis enrolled in Medicare?
No. Shoshana Davis has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Shoshana Davis accept?
Health plans from Providence Health Plan list Shoshana Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shoshana Davis was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shoshana Rose Davis, AMFT · NPI 1013484773
Marriage & Family Therapist provider in Sebastopol, California. Individual provider, active in the CMS NPPES registry since October 30, 2018.
## Identity
- **NPI:** 1013484773 (Entity type: Individual)
- **Enumerated:** October 30, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** AMFT110154 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7765 HEALDSBURG AVE, Sebastopol, CA 95472-3309
- **Phone:** (707) 696-9648
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 2, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1013484773) · Data from the CMS NPPES public registry.