AUDREY DAVIDHEISER PHD
NPI 1245747260
Psychologist - Clinical in Sherman Oaks, CA

Active since December 29, 2017Opted out of Medicare · through Apr 1, 2028
15335 MORRISON ST STE 315, SHERMAN OAKS, CA 91403(818) 985-1211 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrey Davidheiser Phd NPPES

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

AUDREY DAVIDHEISER PHD (NPI 1245747260) is an individual clinical provider in Sherman Oaks, California, licensed in California (PSY22815) and active in the NPI registry since December 2017. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1245747260
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAUDREY DAVIDHEISERCredential: PHD
Location Address15335 MORRISON ST STE 315Sherman Oaks, CA 91403-1589
Mailing Address15335 Morrison St Ste 315Sherman Oaks, CA 91403-1589
Sole ProprietorNo
Enumeration DateDecember 29, 2017
NPI 1245747260 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 · PSY22815
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.
15335 MORRISON ST STE 315, Sherman Oaks, CA 91403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Audrey Davidheiser 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, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-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 Audrey Davidheiser's NPI number?

The NPI number for Audrey Davidheiser is 1245747260. It was assigned to this individual provider in the NPPES registry on December 29, 2017.

Where is Audrey Davidheiser located?

Audrey Davidheiser practices at 15335 Morrison St Ste 315, Sherman Oaks, CA 91403. The listed phone number is (818) 985-1211.

What is Audrey Davidheiser's specialty?

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

Is Audrey Davidheiser enrolled in Medicare?

No. Audrey Davidheiser 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.

When was this NPI record last updated?

The NPPES record for Audrey Davidheiser was last updated on December 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.