JACQUELYN HALL-DAVIS,M.D. LTD
NPI 1699173542
Psychiatry & Neurology - Child & Adolescent Psychiatry in O Fallon, IL

Active since December 09, 2014
1669 WINDHAM WAY, SUITE B, O FALLON, IL 62269(618) 622-9240(618) 622-9241 Get Directions Write a Review

NPPES record last updated: December 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacquelyn Hall-davis,m.d. Ltd NPPES

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

JACQUELYN HALL-DAVIS,M.D. LTD (NPI 1699173542) is a healthcare organization registered as a child & adolescent psychiatry in O Fallon, Illinois and active in the NPI registry since December 2014. The organization lists Jacquelyn Hall-davis, President, as its authorized official.

NPPES Registry Identity

NPI1699173542
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameJACQUELYN HALL-DAVIS,M.D. LTD
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
Fax(618) 622-9241
Organization SubpartNo
Authorized OfficialJacquelyn Hall-davisPresident · (618) 622-9240
Enumeration DateDecember 9, 2014
NPI 1699173542 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, O Fallon, IL 62269

Other Identifiers 2

Other540653IL · Tricare
Medicaid036080270IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
1669 WINDHAM WAY
O FALLON, IL 62269
Social Worker (Clinical)
1669 WINDHAM WAY
O FALLON, IL 62269
Marriage & Family Therapist
1669 WINDHAM WAY, SUITE B
O FALLON, IL 62269
Counselor (Professional)
1669 WINDHAM WAY
O FALLON, IL 62269
Marriage & Family Therapist
1669 WINDHAM WAY, SUITE B
O FALLON, IL 62269
Marriage & Family Therapist
1669 WINDHAM WAY, SUITE B
O FALLON, IL 62269
Marriage & Family Therapist
1669 WINDHAM WAY, SUITE B
O FALLON, IL 62269

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,m.D. Ltd's NPI number?

The NPI number for Jacquelyn Hall-Davis,m.D. Ltd is 1699173542. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Jacquelyn Hall-Davis,m.D. Ltd located?

Jacquelyn Hall-Davis,m.D. Ltd is located at 1669 Windham Way Suite B, O Fallon, IL 62269. The listed phone number is (618) 622-9240.

What is Jacquelyn Hall-Davis,m.D. Ltd'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,m.D. Ltd was last updated on December 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.