DR. MICHAEL W DAVIS PH.D.
NPI 1588715486
Psychologist - Clinical in Jonesboro, AR

Q: What is Michael Davis's NPI number?

The NPI number for Michael Davis is 1588715486. It was assigned to this individual provider in the NPPES registry on January 16, 2007. The provider is also known as Mike Davis Ph.D..

Q: What is Michael Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Davis was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 16, 2007PECOS Enrolled

2808 FOX MEADOW LANE, JONESBORO, AR 72404(870) 335-2240(870) 931-4457 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 10, 2023, Aug 20, 2021, May 4, 2021 (3 updates tracked since 2021).

On this page

About Dr. Michael W Davis Ph.d. NPPES

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

DR. MICHAEL W DAVIS PH.D. (NPI 1588715486) is an individual clinical provider in Jonesboro, Arkansas, licensed in Arkansas (06-07P) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588715486

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL W DAVISCredential: PH.D.

Location Address2808 FOX MEADOW LANEJonesboro, AR 72404-9346

Mailing Address2808 Fox Meadow LaneJonesboro, AR 72404-9346 · (870) 335-2240 · Fax (870) 931-4457

Phone(870) 335-2240

Fax(870) 931-4457

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateMay 10, 20233 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1588715486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AR · 06-07P

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.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 06-07P (AR)

2808 FOX MEADOW LANE, Jonesboro, AR 72404

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Other Names 1

Other Name (5)Mike Davis Ph.d.

Other Identifiers 2

Other5X989AR · Blue Cross Blue Shield

Medicaid227670719AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael W Davis Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72404 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

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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.

ADRIENNE NICOLE BLACK RBT-17-45544

Behavior Technician