DR. ROGER DAVIS PHD
NPI 1215454970
Psychologist - Clinical in Venice, FL

Active since August 24, 2017
871 VENETIA BAY BLVD, VENICE, FL 34285(941) 485-8586 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, May 24, 2021, Aug 24, 2017 (3 updates tracked since 2017).

About Dr. Roger Davis Phd NPPES

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

DR. ROGER DAVIS PHD (NPI 1215454970) is an individual clinical provider in Venice, Florida, licensed in Florida (11037) and active in the NPI registry since August 2017. He maintains a secondary practice location in North Port.

NPPES Registry Identity

NPI1215454970
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROGER DAVISCredential: PHD
Location Address871 VENETIA BAY BLVDVenice, FL 34285-8047
Mailing Address2557 Sherman Oak DrNorth Port, FL 34289-2390 · (573) 776-0578
Sole ProprietorNo
Enumeration DateAugust 24, 2017
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1215454970 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 FL · 11037
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.
871 VENETIA BAY BLVD, Venice, FL 34285

Secondary Practice Location 1

Location 12557 Sherman Oak DrNorth Port, FL 34289-2390 · Phone (573) 776-0578

Other Providers at the Same Location NPPES 11

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

Pain Medicine (Interventional Pain Medicine)
871 VENETIA BAY BLVD, SUITE 350
VENICE, FL 34285
Clinic/Center (Mental Health (Including Community Mental Health Center))
871 VENETIA BAY BLVD, SUITE 360
VENICE, FL 34285
Nurse Practitioner (Family)
871 VENETIA BAY BLVD
VENICE, FL 34285
Exclusive Provider Organization
871 VENETIA BAY BLVD, SUITE 360
VENICE, FL 34285
Psychologist
871 VENETIA BAY BLVD, STE 360
VENICE, FL 34285
Psychologist
871 VENETIA BAY BLVD, SUITE 360
VENICE, FL 34285
Psychologist
871 VENETIA BAY BLVD, SUITE 360
VENICE, FL 34285
Nurse Practitioner (Adult Health)
871 VENETIA BAY BLVD
VENICE, FL 34285

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 Roger Davis's NPI number?

The NPI number for Roger Davis is 1215454970. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Roger Davis located?

Roger Davis practices at 871 Venetia Bay Blvd, Venice, FL 34285. The listed phone number is (941) 485-8586.

What is Roger Davis's specialty?

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

When was this NPI record last updated?

The NPPES record for Roger Davis was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.