CAITLIN PARK-DAVIDSON
NPI 1316595069
Counselor - Professional in Philadelphia, PA

Active since August 27, 2019PECOS Enrolled
4865 MARKET ST, PHILADELPHIA, PA 19139(610) 551-3163 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caitlin Park-davidson NPPES

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

CAITLIN PARK-DAVIDSON (NPI 1316595069) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC011666) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316595069
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAITLIN PARK-DAVIDSON
Location Address4865 MARKET STPhiladelphia, PA 19139-3508
Mailing Address3220 Potter StPhiladelphia, PA 19134-1922 · (574) 377-2965
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 27, 2019
NPI 1316595069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC011666
4865 MARKET ST, Philadelphia, PA 19139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Caitlin Park-davidson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092223180
PECOS Enrollment IDI20250731002587
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
4865 MARKET ST
PHILADELPHIA, PA 19139
Nurse Practitioner (Pediatrics)
4865 MARKET ST
PHILADELPHIA, PA 19139
Pediatrics
4865 MARKET ST
PHILADELPHIA, PA 19139
Pediatrics
4865 MARKET ST
PHILADELPHIA, PA 19139
Pediatrics
4865 MARKET ST
PHILADELPHIA, PA 19139
Nurse Practitioner (Pediatrics)
4865 MARKET ST
PHILADELPHIA, PA 19139
Nurse Practitioner (Family)
4865 MARKET ST
PHILADELPHIA, PA 19139
Psychologist
4865 MARKET ST
PHILADELPHIA, PA 19139

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 Caitlin Park-davidson's NPI number?

The NPI number for Caitlin Park-davidson is 1316595069. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Caitlin Park-davidson located?

Caitlin Park-davidson practices at 4865 Market St, Philadelphia, PA 19139. The listed phone number is (610) 551-3163.

What is Caitlin Park-davidson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Caitlin Park-davidson enrolled in Medicare?

Yes. Caitlin Park-davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caitlin Park-davidson was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.