MIKOL S DAVIS CHILD & FAMILY COUNSELING A PROF CORP
NPI 1033412853
Psychologist - Clinical in San Rafael, CA

Active since December 16, 2010
1703 5TH AVE STE 101, SAN RAFAEL, CA 94901(415) 459-1203(415) 459-3682 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mikol S Davis Child & Family Counseling A Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKOL S DAVIS CHILD & FAMILY COUNSELING A PROF CORP (NPI 1033412853) is a healthcare organization registered as a clinical in San Rafael, California and active in the NPI registry since December 2010. The organization lists Mikol S. Davis, President, as its authorized official.

NPPES Registry Identity

NPI1033412853
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMIKOL S DAVIS CHILD & FAMILY COUNSELING A PROF CORP
Location Address1703 5TH AVE STE 101San Rafael, CA 94901-1853
Mailing Address1703 5th Ave Ste 101San Rafael, CA 94901-1853 · (415) 459-1203
Fax(415) 459-3682
Organization SubpartNo
Authorized OfficialMikol S. DavisPresident · (415) 459-1203
Enumeration DateDecember 16, 2010
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1033412853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 00PL90630
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1703 5TH AVE STE 101, San Rafael, CA 94901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1703 5TH AVE STE 101
SAN RAFAEL, CA 94901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033412853, enumerated as an "organization" on December 16, 2010.

The provider is located at 1703 5TH AVE STE 101 SAN RAFAEL, CA 94901 and the phone number is (415) 459-1203.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.