KELLY S DAVIS PH.D.
NPI 1306140827
Psychologist - Clinical in Idaho Falls, ID

Q: What is Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1306140827. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Q: What is Kelly Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Davis was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 December 23, 2010

1795 W BROADWAY ST # 125, IDAHO FALLS, ID 83402(414) 759-9678 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 30, 2024, Sep 17, 2020, Jan 14, 2019 and 2 more (5 updates tracked since 2018).

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About Kelly S Davis Ph.d. NPPES

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

KELLY S DAVIS PH.D. (NPI 1306140827) is an individual clinical provider in Idaho Falls, Idaho, licensed in California (PSY35176) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1306140827

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY S DAVISCredential: PH.D.

Location Address1795 W BROADWAY ST # 125Idaho Falls, ID 83402-3045

Mailing Address1795 W Broadway St # 125Idaho Falls, ID 83402-3045 · (414) 759-9678

Phone(414) 759-9678

Sole ProprietorNo

Enumeration DateDecember 23, 2010

Last NPPES UpdateDecember 30, 20245 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1306140827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · PSY35176✔ Licensed in ID · PSY-203118

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.

1795 W BROADWAY ST # 125, Idaho Falls, ID 83402

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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 Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1306140827. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Where is Kelly Davis located?

Kelly Davis practices at 1795 W Broadway St # 125, Idaho Falls, ID 83402. The listed phone number is (414) 759-9678.

What is Kelly 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 Kelly Davis was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.