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DR. BETH BREECE DAVIS PHD
NPI 1245206028
Psychologist - Health in Herndon, VA

Active since February 23, 2006Opted out of Medicare · through Jan 1, 2027
13800 COPPERMINE RD, SUITE 183, HERNDON, VA 20171(619) 540-3235 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2016, Dec 2, 2015 (2 updates tracked since 2015).

About Dr. Beth Breece Davis Phd NPPES

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

DR. BETH BREECE DAVIS PHD (NPI 1245206028) is an individual health provider in Herndon, Virginia, licensed in Virginia (0810004027) and active in the NPI registry since February 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245206028
Entity TypeIndividualFemale
Primary Taxonomy103TH0004X
Provider Legal NameDR. BETH BREECE DAVISCredential: PHD
Location Address13800 COPPERMINE RD, SUITE 183Herndon, VA 20171-6163
Mailing Address13800 Coppermine Rd, Suite 183Herndon, VA 20171-6163 · (619) 540-3235
Phone(619) 540-3235
Sole ProprietorYes
Enumeration DateFebruary 23, 2006
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
✔ NPI 1245206028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
License✔ Licensed in VA · 0810004027
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
13800 COPPERMINE RD, Herndon, VA 20171
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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. Beth Breece Davis 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 January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 16

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

KRISTINA MENDOZA
Behavior Technician
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (718) 215-5311
KIND-CARE
In Home Supportive Care
13800 COPPERMINE RD, STE 148
HERNDON, VA 20171
Fairfax County (866) 769-6746
JUAN P DACOSTA
Non-emergency Medical Transport (VAN)
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (804) 446-0975
PEAK PERFORMANCE NEUROFEEDBACK, LLC
Clinic/Center (Adolescent and Children Mental Health)
13800 COPPERMINE RD, SUITE 183
HERNDON, VA 20171
Fairfax County (619) 540-3235
SAHRA M ISMAIL
Home Health Aide
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (571) 308-5892
OURKARE, LLC
In Home Supportive Care
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (844) 687-5273
JOHN R JOHNSON III M.S
Behavior Technician
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (718) 215-5311
KOYASI VICTOR SEBAKIJJE
Behavior Technician
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (718) 215-5311

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 Beth Davis's NPI number?

The NPI number for Beth Davis is 1245206028. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Beth Davis located?

Beth Davis practices at 13800 Coppermine Rd Suite 183, Herndon, VA 20171. The listed phone number is (619) 540-3235.

What is Beth Davis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Beth Davis enrolled in Medicare?

No. Beth Davis has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Beth Davis was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.