Psychiatry & Neurology (Psychiatry) in Soquel, CA

NPI 1750584181 Individual Female Psychiatry & Neurology Psychiatry PECOS Enrolled Opted-Out Medicare


Jennifer Davis is a provider established in Soquel, California and her medical specialization is psychiatry & neurology (psychiatry) . The NPI number of Jennifer Davis is 1750584181 and was assigned on June 2007. The practitioner's primary taxonomy code is 2084P0800X with license number A62553 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

A psychiatrist like Dr. Jennifer Jean Davis M.d. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Jennifer Davis is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jennifer Davis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jennifer Davis opted out of Medicare effective on 08-31-2020 until 08-31-2022. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.



Provider Location Address2425 PORTER ST SOQUEL, CA 95073
Provider Mailing AddressPO BOX 760 REDWOOD ESTATES, CA 95044
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-05-2007
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
License No.A62553
License StateCA
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

ZIP 95073
Phone: (831) 475-2563
Fax: (831) 475-2563

Get Directions

Mailing Address

PO BOX 760
ZIP 95044
Phone: (831) 475-2563
Fax: (831) 475-2563

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Opted-Out of MedicareYes
Opt-Out Effective Date08-31-2020
Opt-Out End Date08-31-2022
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryA62553CAN/A

Taxonomy Description: 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.

Other Providers at the same location

The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124154042 SUSAN C JOHNSON
Acupuncturist2425 PORTER ST STE 7
SOQUEL, CA 95073
(831) 476-4648
1104042787 ANN W. HINES LMFT
Marriage & Family Therapist2425 PORTER ST SUITE 9
SOQUEL, CA 95073
(831) 476-9620
1851503106MS. SHERRY HOLM L.C.S.W.
Social Worker (Clinical)2425 PORTER ST SUITE 5 E
SOQUEL, CA 95073
(831) 475-6478
1063434207DR. ERIC R CARLBLOM M.D.
Specialist2425 PORTER ST SUITE 6
SOQUEL, CA 95073
(831) 462-1500
1962698167ERIC R. CARLBLOM, MD.,PC
Orthopaedic Surgery (Hand Surgery)2425 PORTER ST SUITE 6
SOQUEL, CA 95073
(831) 462-1500
Pain Medicine (Pain Medicine)2425 PORTER ST SUITE 11
SOQUEL, CA 95073
(831) 296-5700
Anesthesiology (Pain Medicine)2425 PORTER ST
SOQUEL, CA 95073
(831) 296-5700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.