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

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: August 02, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

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.

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
MR. EVAN BACHELDER LMT
Mechanotherapist
1160 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 541-6258
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

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.

What insurance does Lori Davis accept?

Health plans from Providence Health Plan list Lori Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.