DR. BRYCE MCDAVITT PHD
NPI 1225563729
Psychologist - Clinical in Studio City, CA

Q: What is Bryce Mcdavitt's NPI number?

The NPI number for Bryce Mcdavitt is 1225563729. It was assigned to this individual provider in the NPPES registry on April 22, 2017.

Q: What is Bryce Mcdavitt's specialty?

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

Q: Is Bryce Mcdavitt enrolled in Medicare?

No. Bryce Mcdavitt has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Bryce Mcdavitt was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 April 22, 2017Opted out of Medicare · through Apr 1, 2028

11712 MOORPARK ST STE 204B, STUDIO CITY, CA 91604(323) 801-8123 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Bryce Mcdavitt Phd NPPES

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

DR. BRYCE MCDAVITT PHD (NPI 1225563729) is an individual clinical provider in Studio City, California, licensed in California (PSY28942) and active in the NPI registry since April 2017. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1225563729

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRYCE MCDAVITTCredential: PHD

Location Address11712 MOORPARK ST STE 204BStudio City, CA 91604-2158

Mailing Address11712 Moorpark St Ste 204bStudio City, CA 91604-2158 · (323) 801-8123

Phone(323) 801-8123

Sole ProprietorYes

Enumeration DateApril 22, 2017

Last NPPES UpdateOctober 21, 2024

NPPES CertifiedOctober 21, 2024

✔ NPI 1225563729 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 · PSY28942

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.

11712 MOORPARK ST STE 204B, Studio City, CA 91604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bryce Mcdavitt Phd 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

BRYCE MCDAVITT PHD

Clinic/Center (Mental Health (Including Community Mental Health Center))