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MIKOL S. DAVIS ED.D.
NPI 1073525895
Psychologist - Clinical in San Rafael, CA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
930 IRWIN ST, SUITE 215, SAN RAFAEL, CA 94901(415) 459-1203 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mikol S. Davis Ed.d. NPPES

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

MIKOL S. DAVIS ED.D. (NPI 1073525895) is an individual clinical provider in San Rafael, California, licensed in California (PSY 9063) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1980).

NPPES Registry Identity

NPI1073525895
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMIKOL S. DAVISCredential: ED.D.
Location Address930 IRWIN ST, SUITE 215San Rafael, CA 94901-3340
Mailing Address930 Irwin St, Suite 215San Rafael, CA 94901-3340 · (415) 459-1203
Phone(415) 459-1203
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1980
Enumeration DateAugust 12, 2006
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1073525895 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 · PSY 9063
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.
930 IRWIN ST, San Rafael, CA 94901
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINED890ACA
Medicare UPINED889ZCA

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

Mikol S. Davis Ed.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.

PECOS PAC ID840488573
PECOS Enrollment IDI20101222000856
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mikol Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mikol S Davis Child & Family Counseling A Prof Corp
1.0 mi
Clinical
1703 5TH AVE STE 101
San Rafael, CA 94901
  • Reassigned Medicare billing, California enrollment
NPI 1033412853 (415) 459-1203

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 94901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mikol Davis's NPI number?

The NPI number for Mikol Davis is 1073525895. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Mikol Davis located?

Mikol Davis practices at 930 Irwin St Suite 215, San Rafael, CA 94901. The listed phone number is (415) 459-1203.

What is Mikol Davis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mikol Davis enrolled in Medicare?

Yes. Mikol 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 Mikol Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikol Davis reassigns Medicare benefits to Mikol S Davis Child & Family Counseling A Prof Corp (San Rafael, 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 Mikol 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 Mikol Davis was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.