Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL R DAVIS PHD
NPI 1386488138
Psychologist in Denver, CO

Active since June 25, 2024PECOS Enrolled
1500 N GRANT ST STE R, DENVER, CO 80203(720) 491-1457 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, May 12, 2026, Dec 15, 2025 and 1 more (4 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 Denver, Colorado, 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 Address1500 N GRANT ST STE RDenver, CO 80203-1859
Mailing Address1500 N Grant St Ste RDenver, CO 80203-1859
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 25, 2024
Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration
NPPES CertifiedAugust 26, 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
Licenses✔ Licensed in OH · P.08662✔ Licensed in CO · PSY.0007123
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.
1500 N GRANT ST STE R, Denver, CO 80203

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel R Davis Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Child & Adolescent
1670 UPHAM DR, SUITE 140
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group

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.

Counselor (Mental Health)
1500 N GRANT ST STE R
DENVER, CO 80203
Social Worker (Clinical)
1500 N GRANT ST STE R
DENVER, CO 80203
Psychologist (Clinical Child & Adolescent)
1500 N GRANT ST STE R
DENVER, CO 80203
Psychologist (Clinical)
1500 N GRANT ST STE R
DENVER, CO 80203
Custodial Care Facility (Adult Care Home)
1500 N GRANT ST STE R
DENVER, CO 80203
Counselor (Mental Health)
1500 N GRANT ST STE R
DENVER, CO 80203
Behavior Technician
1500 N GRANT ST STE R
DENVER, CO 80203
Psychologist
1500 N GRANT ST STE R
DENVER, CO 80203

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 1500 N Grant St Ste R, Denver, CO 80203. The listed phone number is (720) 491-1457.

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 enrollment system.

Which organization bills Medicare for Samuel Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Davis reassigns Medicare benefits to Osu Psychiatry, LLC (Columbus, OH). 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 Samuel Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Davis accept?

Health plans from CareSource list Samuel 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 Samuel Davis was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.