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

Q: 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.

Q: What is Mikol Davis's specialty?

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

Q: 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.

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: August 16, 2026.

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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

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Other Identifiers 2

Medicare UPINED890ACA

Medicare UPINED889ZCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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.