BROOKE NADINE DAVIDSON PSYD
NPI 1538568407
Psychologist in Newport Beach, CA

Active since August 17, 2014PECOS EnrolledAccepts Medicare Assignment
4700 VON KARMAN AVE STE 102, NEWPORT BEACH, CA 92660(949) 743-1457 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2020, Jul 11, 2019, Jul 1, 2019 and 1 more (4 updates tracked since 2016).

About Brooke Nadine Davidson Psyd NPPES

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

BROOKE NADINE DAVIDSON PSYD (NPI 1538568407) is an individual psychologist in Newport Beach, California, licensed in California (31050) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538568407
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBROOKE NADINE DAVIDSONCredential: PSYD
Location Address4700 VON KARMAN AVE STE 102Newport Beach, CA 92660-2194
Mailing Address4700 Von Karman Ave, Ste 102Newport Beach, CA 92660-2194 · (949) 743-1457
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 17, 2014
Last NPPES UpdateJune 11, 20204 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
NPI 1538568407 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 CA · 31050
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.
4700 VON KARMAN AVE STE 102, Newport Beach, CA 92660

Secondary Practice Location 1

Location 111035 NE Sandy BlvdPortland, OR 97220-2553 · Phone (503) 258-4200

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

Brooke Nadine Davidson Psyd 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 ID4284056458
PECOS Enrollment IDI20200616001864
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 9

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

General Practice
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Student in an Organized Health Care Education/Training Program
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Psychologist (Clinical Child & Adolescent)
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Psychologist
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Marriage & Family Therapist
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Psychologist (Clinical)
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Nurse Practitioner
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Psychologist
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660

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 Brooke Davidson's NPI number?

The NPI number for Brooke Davidson is 1538568407. It was assigned to this individual provider in the NPPES registry on August 17, 2014.

Where is Brooke Davidson located?

Brooke Davidson practices at 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660. The listed phone number is (949) 743-1457.

What is Brooke Davidson's specialty?

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

Is Brooke Davidson enrolled in Medicare?

Yes. Brooke Davidson 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 Brooke Davidson was last updated on June 11, 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.