DR. STEPHEN GLEN DAVIS II PSY.D.
NPI 1063892164
Psychologist - Clinical in Yreka, CA
About Dr. Stephen Glen Davis Ii Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHEN GLEN DAVIS II PSY.D. (NPI 1063892164) is an individual clinical provider in Yreka, California, licensed in California (PSY25207) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Stephen Glen Davis Ii Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stephen Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Napa, CA 94558
- Reassigned Medicare billing, California enrollment
- 755 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stephen Davis's NPI number?
The NPI number for Stephen Davis is 1063892164. It was assigned to this individual provider in the NPPES registry on June 3, 2015.
Where is Stephen Davis located?
Stephen Davis practices at 401 S Broadway St Unit 217, Yreka, CA 96097. The listed phone number is (530) 905-0176.
What is Stephen Davis's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Stephen Davis enrolled in Medicare?
Yes. Stephen Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stephen Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Davis reassigns Medicare benefits to Department Of State Hospitals (Napa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephen Davis was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Dr. Stephen Glen Davis II, PSY.D. · NPI 1063892164
Clinical provider in Yreka, California. Individual provider, active in the CMS NPPES registry since June 3, 2015.
## Identity
- **NPI:** 1063892164 (Entity type: Individual)
- **Enumerated:** June 3, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY25207 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 S BROADWAY ST UNIT 217, Yreka, CA 96097-3609
- **Phone:** (530) 905-0176
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Department Of State Hospitals (NPI 1326098161, Napa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063892164) · Data from the CMS NPPES public registry.