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

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: July 26, 2026.

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

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

What insurance does Kelly Davis accept?

Health plans from Providence Health Plan list Kelly Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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