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: August 16, 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 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.