DR. SAMUEL R DAVIS PHD
NPI 1386488138
Psychologist in Columbus, OH

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment
3650 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 293-9600(614) 366-1215 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2026, Dec 15, 2025, Jun 25, 2024 (3 updates tracked since 2024).

About Dr. Samuel R Davis Phd NPPES

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

DR. SAMUEL R DAVIS PHD (NPI 1386488138) is an individual psychologist in Columbus, Ohio, licensed in Ohio (P.08662) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386488138
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMUEL R DAVISCredential: PHD
Location Address3650 OLENTANGY RIVER RDColumbus, OH 43214-3464
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-9600 · Fax (614) 366-1215
Fax(614) 366-1215
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 25, 2024
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1386488138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · P.08662
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.

3650 OLENTANGY RIVER RD, Columbus, OH 43214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel R Davis Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012402340
PECOS Enrollment IDI20251223003637
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 13

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

Specialist
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Internal Medicine
3650 OLENTANGY RIVER RD, STE 302
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Psychiatry & Neurology (Psychiatry)
3650 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Psychologist
3650 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Psychologist
3650 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Obstetrics & Gynecology
3650 OLENTANGY RIVER RD, SUITE 302
COLUMBUS, OH 43214

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 Samuel Davis's NPI number?

The NPI number for Samuel Davis is 1386488138. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Samuel Davis located?

Samuel Davis practices at 3650 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 293-9600.

What is Samuel Davis's specialty?

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

Is Samuel Davis enrolled in Medicare?

Yes. Samuel Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Davis was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.