DR. RODNEY LEE DAVIS JR. LADC, LSW, LPC, PSYA
NPI 1891414918
Psychologist in Waterbury, CT

Active since August 23, 2022PECOS Enrolled
PO BOX 305, WATERBURY, CT 06720(203) 565-1403 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Aug 23, 2022 (2 updates tracked since 2022).

About Dr. Rodney Lee Davis Jr. Ladc, Lsw, Lpc, Psya NPPES

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

DR. RODNEY LEE DAVIS JR. LADC, LSW, LPC, PSYA (NPI 1891414918) is an individual psychologist in Waterbury, Connecticut, licensed in California (PSB94029549) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891414918
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RODNEY LEE DAVIS JR.Credential: LADC, LSW, LPC, PSYA
Location AddressPO BOX 305Waterbury, CT 06720-0305
Mailing AddressPo Box 305Waterbury, CT 06720-0305
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 23, 2022
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1891414918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSB94029549
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1216 (CT)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 46.008556 (CT)
Also ListedSocial WorkerTaxonomy 104100000X · License 44SL07335300 (NJ)
PO BOX 305, Waterbury, CT 06720

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rodney Lee Davis Jr. Ladc, Lsw, Lpc, Psya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618442583
PECOS Enrollment IDI20260408001591
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.

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 Rodney Davis's NPI number?

The NPI number for Rodney Davis is 1891414918. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Rodney Davis located?

Rodney Davis practices at PO Box 305, Waterbury, CT 06720. The listed phone number is (203) 565-1403.

What is Rodney Davis's specialty?

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

Is Rodney Davis enrolled in Medicare?

Yes. Rodney Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rodney Davis was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.