MARY DAVIS, PHD PLLC
NPI 1366466021
Psychologist in Boise, ID
About Mary Davis, Phd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY DAVIS, PHD PLLC (NPI 1366466021) is a healthcare organization registered as a psychologist in Boise, Idaho and active in the NPI registry since July 2006. The organization lists Mary Davis, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Davis, Phd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Davis, Phd PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mary Davis, Phd PLLC's NPI number?
The NPI number for Mary Davis, Phd PLLC is 1366466021. It was assigned to this organization in the NPPES registry on July 26, 2006.
Where is Mary Davis, Phd PLLC located?
Mary Davis, Phd PLLC is located at 1221 W Hays St, Boise, ID 83702. The listed phone number is (208) 345-7358.
What is Mary Davis, Phd PLLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mary Davis, Phd PLLC enrolled in Medicare?
Yes. Mary Davis, Phd PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mary Davis, Phd PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mary Davis, Phd PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mary Davis, Phd PLLC was last updated on August 22, 2020. 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.