STEPHANIE LYNNE DAVIS PH.D.
NPI 1154023570
Psychologist in Mission Viejo, CA

Active since March 20, 2023Opted out of Medicare · through Sep 4, 2026
26691 PLAZA STE 221, MISSION VIEJO, CA 92691(949) 534-2623 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Lynne Davis Ph.d. NPPES

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

STEPHANIE LYNNE DAVIS PH.D. (NPI 1154023570) is an individual psychologist in Mission Viejo, California, licensed in California (30293) and active in the NPI registry since March 2023. She has opted out of Medicare through September 4, 2026.

NPPES Registry Identity

NPI1154023570
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTEPHANIE LYNNE DAVISCredential: PH.D.
Location Address26691 PLAZA STE 221Mission Viejo, CA 92691-8582
Mailing Address26691 Plaza Ste 221Mission Viejo, CA 92691-8582 · (949) 534-2623
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
NPI 1154023570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 30293
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
26691 PLAZA STE 221, Mission Viejo, CA 92691

Other Names 1

Former Name (1)Stephanie Lynne Deverich

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Stephanie Lynne Davis Ph.d. 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 September 4, 2024 through September 4, 2026.

Opt-Out Effective DateSeptember 4, 2024
Opt-Out In Effect ThroughSeptember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Stephanie Davis's NPI number?

The NPI number for Stephanie Davis is 1154023570. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Stephanie Lynne Deverich.

Where is Stephanie Davis located?

Stephanie Davis practices at 26691 Plaza Ste 221, Mission Viejo, CA 92691. The listed phone number is (949) 534-2623.

What is Stephanie Davis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stephanie Davis enrolled in Medicare?

No. Stephanie Davis has opted out of Medicare through September 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephanie Davis was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.