DR. JACLYN MICHELLE DAVIS PH.D.
NPI 1477833176
Psychologist in Austin, TX

Active since August 25, 2011Opted out of Medicare · through Jan 1, 2027
1515 S CAPITAL OF TEXAS HWY STE 200, AUSTIN, TX 78746(512) 649-1742 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2020, Sep 14, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Dr. Jaclyn Michelle Davis Ph.d. NPPES

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

DR. JACLYN MICHELLE DAVIS PH.D. (NPI 1477833176) is an individual psychologist in Austin, Texas, licensed in Pennsylvania (PS017996) and active in the NPI registry since August 2011. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1477833176
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACLYN MICHELLE DAVISCredential: PH.D.
Location Address1515 S CAPITAL OF TEXAS HWY STE 200Austin, TX 78746-6544
Mailing Address1045 S Cedar Crest BlvdAllentown, PA 18103-5443 · (610) 433-3360
Sole ProprietorYes
Enumeration DateAugust 25, 2011
Last NPPES UpdateFebruary 18, 20203 updates tracked since enumeration
NPI 1477833176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS017996
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 38202 (TX)
1515 S CAPITAL OF TEXAS HWY STE 200, Austin, TX 78746

Other Names 1

Former Name (1)Ms. Jaclyn Michelle Stadt

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jaclyn Michelle Davis Ph.d. 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 January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1515 S CAPITAL OF TEXAS HWY STE 200
AUSTIN, TX 78746

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 Jaclyn Davis's NPI number?

The NPI number for Jaclyn Davis is 1477833176. It was assigned to this individual provider in the NPPES registry on August 25, 2011. The provider is also known as Ms. Jaclyn Michelle Stadt.

Where is Jaclyn Davis located?

Jaclyn Davis practices at 1515 S Capital Of Texas Hwy Ste 200, Austin, TX 78746. The listed phone number is (512) 649-1742.

What is Jaclyn Davis's specialty?

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

Is Jaclyn Davis enrolled in Medicare?

No. Jaclyn Davis has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jaclyn Davis was last updated on February 18, 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.