DR. KATHRYN MARIE DAVIS PSY.D.
NPI 1598997678
Psychologist - Clinical in San Bernardino, CA

Q: What is Kathryn Davis's NPI number?

The NPI number for Kathryn Davis is 1598997678. It was assigned to this individual provider in the NPPES registry on August 21, 2009. The provider is also known as Dr. Kathryn Marie Pavlik Psy.D..

Q: What is Kathryn 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 Kathryn Davis was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 21, 2009PECOS EnrolledAccepts Medicare Assignment

250 S G ST, SAN BERNARDINO, CA 92410(909) 382-7100 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Dr. Kathryn Marie Davis Psy.d. NPPES

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

DR. KATHRYN MARIE DAVIS PSY.D. (NPI 1598997678) is an individual clinical provider in San Bernardino, California, licensed in California (PSY25988) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1598997678

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHRYN MARIE DAVISCredential: PSY.D.

Location Address250 S G STSan Bernardino, CA 92410-3320

Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 382-7100 · Fax (909) 382-7101

Phone(909) 382-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 21, 2009

Last NPPES UpdateJanuary 17, 2018

✔ NPI 1598997678 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 CA · PSY25988

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.

250 S G ST, San Bernardino, CA 92410

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Other Names 1

Former Name (1)Dr. Kathryn Marie Pavlik Psy.d.

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

Dr. Kathryn Marie Davis Psy.d. 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 ID4587976782

PECOS Enrollment IDI20150630003138

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 92410 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

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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