MS. LORI MARIE DAVIS
NPI 1861624462
Psychologist - Clinical in Santa Rosa, CA

Q: What is Lori Davis's NPI number?

The NPI number for Lori Davis is 1861624462. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Q: What is Lori Davis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lori Davis was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 14, 2009PECOS EnrolledAccepts Medicare Assignment

1160 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3235(707) 526-8300 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Lori Marie Davis NPPES

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

MS. LORI MARIE DAVIS (NPI 1861624462) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY29336) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861624462

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. LORI MARIE DAVIS

Location Address1160 N DUTTON AVESanta Rosa, CA 95401-4600

Mailing Address1160 N Dutton AveSanta Rosa, CA 95401-4600 · (707) 303-3235 · Fax (707) 526-8300

Phone(707) 303-3235

Fax(707) 526-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 14, 2009

Last NPPES UpdateJune 13, 2019

✔ NPI 1861624462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY29336

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1160 N DUTTON AVE, Santa Rosa, CA 95401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lori Marie 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 ID8022342534

PECOS Enrollment IDI20190702002716

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.

Medicare Billing Reassignment

Medicare enrollment records show Lori Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psych Strategies Inc A Psychological Corp

Psychologist

1160 N DUTTON AVE, SUITE 230
Santa Rosa, CA 95401

Reassigned Medicare billing, California enrollment
33 clinicians in this Medicare group

NPI 1699775411 (707) 303-3201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. STEVAN KERAM M.D.

Psychiatry & Neurology (Psychiatry)

1160 N DUTTON AVE, SUITE 255
SANTA ROSA, CA 95401

Sonoma County (707) 526-8800

CRYSTAL CARPENTER

Technician, Health Information (Assistant Record Technician)

1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401

Sonoma County (707) 545-2700

ALEXANDRA DEXTER ND

Naturopath

1160 N DUTTON AVE
SANTA ROSA, CA 95401

Sonoma County (707) 888-4191

PHILIPPA LOCKWOOD

Technician, Health Information (Assistant Record Technician)

1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401

Sonoma County (707) 545-2700

LESLIE BURKE

Behavior Technician

1160 N DUTTON AVE
SANTA ROSA, CA 95401

Sonoma County (855) 223-7123

KIMBERLY PETERSON MA, MFTI

Marriage & Family Therapist

1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401

Sonoma County (707) 545-2700

MRS. DANA ELIZABETH FALLS M.A., MFT

Marriage & Family Therapist

1160 N DUTTON AVE, SUITE 250
SANTA ROSA, CA 95401

Sonoma County (707) 696-6138

ALANNA DAWKINS

Counselor

1160 N DUTTON AVE
SANTA ROSA, CA 95401

Sonoma County (707) 545-2700

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 Lori Davis's NPI number?

The NPI number for Lori Davis is 1861624462. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Lori Davis located?

Lori Davis practices at 1160 N Dutton Ave, Santa Rosa, CA 95401. The listed phone number is (707) 303-3235.

What is Lori Davis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lori Davis enrolled in Medicare?

Yes. Lori 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.

Which organization bills Medicare for Lori Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Davis reassigns Medicare benefits to Psych Strategies Inc A Psychological Corp (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Davis was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.