JEREMY T DAVIS EDD
NPI 1871172114
Psychologist in Puyallup, WA

Active since April 05, 2021Opted out of Medicare · through Jan 2, 2028
314 19TH ST NW, PUYALLUP, WA 98371(425) 516-4945 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy T Davis Edd NPPES

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

JEREMY T DAVIS EDD (NPI 1871172114) is an individual psychologist in Puyallup, Washington, licensed in Washington (60774435) and active in the NPI registry since April 2021. He has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1871172114
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJEREMY T DAVISCredential: EDD
Location Address314 19TH ST NWPuyallup, WA 98371-5108
Mailing Address314 19th St NwPuyallup, WA 98371-5108 · (425) 516-4945
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1871172114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · 60774435
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
314 19TH ST NW, Puyallup, WA 98371

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jeremy T Davis Edd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jeremy Davis's NPI number?

The NPI number for Jeremy Davis is 1871172114. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Jeremy Davis located?

Jeremy Davis practices at 314 19th St NW, Puyallup, WA 98371. The listed phone number is (425) 516-4945.

What is Jeremy Davis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeremy Davis enrolled in Medicare?

No. Jeremy Davis has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeremy Davis was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.