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DR. JACQUELYN HALL-DAVIS M.D.
NPI 1619042124
Psychiatry & Neurology - Child & Adolescent Psychiatry in O'fallon, IL

Active since November 21, 2006
1669 WINDHAM WAY SUITE B, O'FALLON, IL 62269(618) 622-9240(618) 622-9241 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacquelyn Hall-davis M.d. NPPES

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

DR. JACQUELYN HALL-DAVIS M.D. (NPI 1619042124) is an individual child & adolescent psychiatry provider in O'fallon, Illinois, licensed in Illinois (036080270) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619042124
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JACQUELYN HALL-DAVISCredential: M.D.
Location Address1669 WINDHAM WAY SUITE BO'fallon, IL 62269-3072
Mailing Address1669 Windham Way Suite BO'fallon, IL 62269-3072 · (618) 622-9240 · Fax (618) 622-9241
Phone(618) 622-9240
Fax(618) 622-9241
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateFebruary 12, 2025
✔ NPI 1619042124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036080270
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1669 WINDHAM WAY SUITE B, O'fallon, IL 62269
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Other Identifiers 2

Medicaid036080270IL
Other3649MO · Bcbs Mo

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 Jacquelyn Hall-davis's NPI number?

The NPI number for Jacquelyn Hall-davis is 1619042124. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Jacquelyn Hall-davis located?

Jacquelyn Hall-davis practices at 1669 Windham Way Suite B, O'fallon, IL 62269. The listed phone number is (618) 622-9240.

What is Jacquelyn Hall-davis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Hall-davis was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.