MRS. DEATRIA DAVIS
NPI 1659641835
Counselor - Mental Health in San Mateo, CA

Active since January 05, 2012PECOS EnrolledAccepts Medicare Assignment
2600 S. EL CAMINO REAL, SAN MATEO, CA 94403(209) 752-1965 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Deatria Davis NPPES

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

MRS. DEATRIA DAVIS (NPI 1659641835) is an individual mental health provider in San Mateo, California and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1659641835
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DEATRIA DAVIS
Location Address2600 S. EL CAMINO REALSan Mateo, CA 94403
Mailing Address231 Gee Gee AveLos Banos, CA 93635-3278 · (209) 752-1965
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 5, 2012
Last NPPES UpdateJuly 20, 2015
NPI 1659641835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2600 S. EL CAMINO REAL, San Mateo, CA 94403

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

Mrs. Deatria Davis 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 ID6901342153
PECOS Enrollment IDI20240723004842
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

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

Counselor (Mental Health)
2600 S. EL CAMINO REAL, SUITE #200
SAN MATEO, CA 94403

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 Deatria Davis's NPI number?

The NPI number for Deatria Davis is 1659641835. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Deatria Davis located?

Deatria Davis practices at 2600 S. El Camino Real, San Mateo, CA 94403. The listed phone number is (209) 752-1965.

What is Deatria Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Deatria Davis enrolled in Medicare?

Yes. Deatria Davis 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 Deatria Davis was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.