DR. LISA CAROL T DAVENPORT PHD
NPI 1508995432
Psychologist - Clinical in Weston, FL

Q: What is Lisa Carol Davenport's NPI number?

The NPI number for Lisa Carol Davenport is 1508995432. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Lisa Carol Davenport's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since March 05, 2007PECOS Enrolled

17100 ROYAL PALM BOULEVARD, SUITE ONE, WESTON, FL 33326(954) 217-2444(954) 217-9292 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Lisa Carol T Davenport Phd NPPES

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

DR. LISA CAROL T DAVENPORT PHD (NPI 1508995432) is an individual clinical provider in Weston, Florida, licensed in Florida (PY7447) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pembroke Pines, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1508995432

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA CAROL T DAVENPORTCredential: PHD

Location Address17100 ROYAL PALM BOULEVARD, SUITE ONEWeston, FL 33326

Mailing Address1931 Nw 150th Ave Ste 116Pembroke Pines, FL 33028-2873 · (786) 383-1856 · Fax (786) 431-4872

Phone(954) 217-2444

Fax(954) 217-9292

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 30, 2021

NPPES CertifiedJuly 30, 2021

✔ NPI 1508995432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY7447

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

17100 ROYAL PALM BOULEVARD, Weston, FL 33326

Open in Google Maps ↗

Secondary Practice Location 1

Location 11931 NW 150th Ave Ste 116Pembroke Pines, FL 33028-2873 · Phone (786) 383-1856 · Fax (786) 431-4872

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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. Lisa Carol T Davenport Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426454356

PECOS Enrollment IDI20210901001573

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 Lisa Carol Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Psychology And Wellness Center, Inc

4.6 mi

Clinical

1931 NW 150TH AVE STE 116
Pembroke Pines, FL 33028

Reassigned Medicare billing, Florida enrollment

NPI 1437822988 (786) 383-1856

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33326 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.05 typical visit price

range $58.56 – $179.05

Typical copayment $44.76 (range $14.64 – $44.76)

Most-billed visit code 99205

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Carol Davenport's NPI number?

The NPI number for Lisa Carol Davenport is 1508995432. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Lisa Carol Davenport located?

Lisa Carol Davenport practices at 17100 Royal Palm Boulevard Suite One, Weston, FL 33326. The listed phone number is (954) 217-2444.

What is Lisa Carol Davenport's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lisa Carol Davenport enrolled in Medicare?

Yes. Lisa Carol Davenport is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Carol Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Carol Davenport reassigns Medicare benefits to Mindful Psychology And Wellness Center, Inc (Pembroke Pines, FL). 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 Lisa Carol Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Carol Davenport accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Lisa Carol Davenport 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 Lisa Carol Davenport was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.