MATTHEW TYLER DAVIS LPA
NPI 1356010862
Psychologist in London, KY

Active since September 08, 2021PECOS Enrolled
95 S LAUREL RD STE 1, LONDON, KY 40744(606) 770-5086 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Jan 2, 2023, Nov 8, 2021 and 1 more (4 updates tracked since 2021).

About Matthew Tyler Davis Lpa NPPES

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

MATTHEW TYLER DAVIS LPA (NPI 1356010862) is an individual psychologist in London, Kentucky, licensed in Kentucky (281597) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356010862
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW TYLER DAVISCredential: LPA
Location Address95 S LAUREL RD STE 1London, KY 40744-8300
Mailing Address95 S Laurel Rd Ste 1London, KY 40744-8300 · (606) 770-5086
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 8, 2021
Last NPPES UpdateMay 22, 20254 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1356010862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in KY · 281597 Licensed in KY · 271738
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
95 S LAUREL RD STE 1, London, KY 40744

Other Identifiers 1

Medicaid7100773860KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Tyler Davis Lpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890203269
PECOS Enrollment IDI20250806000352
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 5

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

Counselor (Mental Health)
95 S LAUREL RD STE 1
LONDON, KY 40744
Nurse Practitioner (Psychiatric/Mental Health)
95 S LAUREL RD STE 1
LONDON, KY 40744
Nurse Practitioner (Psychiatric/Mental Health)
95 S LAUREL RD STE 1
LONDON, KY 40744
Nurse Practitioner (Psychiatric/Mental Health)
95 S LAUREL RD STE 1
LONDON, KY 40744
Nurse Practitioner (Psychiatric/Mental Health)
95 S LAUREL RD STE 1
LONDON, KY 40744

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 Matthew Davis's NPI number?

The NPI number for Matthew Davis is 1356010862. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Matthew Davis located?

Matthew Davis practices at 95 S Laurel Rd Ste 1, London, KY 40744. The listed phone number is (606) 770-5086.

What is Matthew Davis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Matthew Davis enrolled in Medicare?

Yes. Matthew Davis is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Davis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Matthew 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 Matthew Davis was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.