JONATHAN ROBERT DAVIS
NPI 1487662813
Psychologist in Lebanon, PA

Active since August 03, 2006Opted out of Medicare · through Apr 1, 2027
200 N 7TH ST, LEBANON, PA 17046(717) 272-1653(717) 272-4166 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Robert Davis NPPES

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

JONATHAN ROBERT DAVIS (NPI 1487662813) is an individual psychologist in Lebanon, Pennsylvania, licensed in Pennsylvania (PS04329L) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487662813
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJONATHAN ROBERT DAVIS
Location Address200 N 7TH STLebanon, PA 17046
Mailing Address200 North 7th StreetLebanon, PA 17046 · (717) 273-1710 · Fax (717) 273-1416
Fax(717) 272-4166
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1487662813 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 PA · PS04329L
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.
200 N 7TH ST, Lebanon, PA 17046

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jonathan Robert Davis 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 April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Marriage & Family Therapist
200 N 7TH ST
LEBANON, PA 17046
Counselor
200 N 7TH ST
LEBANON, PA 17046
Psychologist (Clinical)
200 N 7TH ST
LEBANON, PA 17046
Counselor
200 N 7TH ST
LEBANON, PA 17046
Clinic/Center (Adolescent and Children Mental Health)
200 N 7TH ST
LEBANON, PA 17046
Counselor
200 N 7TH ST
LEBANON, PA 17046
Counselor
200 N 7TH ST
LEBANON, PA 17046
Counselor
200 N 7TH ST
LEBANON, PA 17046

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 Jonathan Davis's NPI number?

The NPI number for Jonathan Davis is 1487662813. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Jonathan Davis located?

Jonathan Davis practices at 200 N 7th St, Lebanon, PA 17046. The listed phone number is (717) 272-1653.

What is Jonathan Davis's specialty?

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

Is Jonathan Davis enrolled in Medicare?

No. Jonathan Davis has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.