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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: October 25, 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.

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
Phone(610) 551-3163
Sole ProprietorNo
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Caitlin Park-davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Health Management Corporation
0.2 mi
Federally Qualified Health Center (FQHC)
4601 MARKET ST
Philadelphia, PA 19139
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 100 clinicians in this Medicare group
NPI 1306514138 (215) 985-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HANNAH BROWN MS, LPC
Counselor (Professional)
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (484) 435-5111
CAROLINE CUCKLER SHANE CRNP
Nurse Practitioner (Pediatrics)
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 425-9800
ELENA E HUANG M.D.
Pediatrics
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 425-9800
EMILY JANE HENKELMAN M.D.
Pediatrics
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 425-9800
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Pediatrics
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-2897
MRS. KELLY MARIE HOPTON-JONES CRNP
Nurse Practitioner (Pediatrics)
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 425-9800
ALEXIS KERRI BURNS CRNP
Nurse Practitioner (Family)
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 425-9800
DR. EVELYN BROOKS RIDGEWAY PH.D.
Psychologist
4865 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 425-9941

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.

Which organization bills Medicare for Caitlin Park-davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Park-davidson reassigns Medicare benefits to Public Health Management Corporation (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caitlin Park-davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Park-davidson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Caitlin Park-davidson 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 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 7 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.