ELIZA JANE DAVIDSON PHD
NPI 1316809791
Psychologist - Clinical in Menlo Park, CA

Q: What is Eliza Davidson's NPI number?

The NPI number for Eliza Davidson is 1316809791. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Q: What is Eliza Davidson's specialty?

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

Q: Is Eliza Davidson enrolled in Medicare?

No. Eliza Davidson has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Eliza Davidson was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 24, 2025Opted out of Medicare · through Apr 30, 2028

845 EL CAMINO REAL, MENLO PARK, CA 94025(650) 762-8352 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eliza Jane Davidson Phd NPPES

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

ELIZA JANE DAVIDSON PHD (NPI 1316809791) is an individual clinical provider in Menlo Park, California, licensed in California (36354) and active in the NPI registry since November 2025. She has opted out of Medicare through April 30, 2028.

NPPES Registry Identity

NPI1316809791

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELIZA JANE DAVIDSONCredential: PHD

Location Address845 EL CAMINO REALMenlo Park, CA 94025-4807

Mailing Address845 El Camino RealMenlo Park, CA 94025-4807 · (650) 762-8352

Phone(650) 762-8352

Sole ProprietorYes

Enumeration DateNovember 24, 2025

NPPES CertifiedNovember 24, 2025

✔ NPI 1316809791 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 · 36354

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.

845 EL CAMINO REAL, Menlo Park, CA 94025

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Eliza Jane Davidson 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 30, 2026 through April 30, 2028.

Opt-Out Effective DateApril 30, 2026

Opt-Out In Effect ThroughApril 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JULIA CORCORAN PSY.D.

Psychologist