DR. RODNEY LEE DAVIS JR. LADC, LSW, LPC, PSYA
NPI 1891414918
Psychologist in Waterbury, CT
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
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Rodney Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clarita, CA 91351
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Rodney Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Davis reassigns Medicare benefits to Pure Autism Counseling Center Inc (Santa Clarita, 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 Rodney 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 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 6 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.