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SHADANA DAVIS, PSYD PLLC
NPI 1912531633
Clinic/Center - Mental Health (Including Community Mental Health Center) in Philadelphia, PA

Active since March 03, 2020
100 W EVERGREEN AVE, PHILADELPHIA, PA 19118(267) 282-1175(267) 282-1084 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadana Davis, Psyd Pllc NPPES

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

SHADANA DAVIS, PSYD PLLC (NPI 1912531633) is a healthcare organization registered as a mental health (including community mental health center) in Philadelphia, Pennsylvania and active in the NPI registry since March 2020. The organization lists Shadana Davis, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1912531633
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSHADANA DAVIS, PSYD PLLC
Location Address100 W EVERGREEN AVEPhiladelphia, PA 19118-3814
Mailing Address1044 E Sedgwick StPhiladelphia, PA 19150-3021 · (267) 250-0466 · Fax (267) 282-1084
Phone(267) 282-1175
Fax(267) 282-1084
Organization SubpartNo
Authorized OfficialShadana DavisPsychologist/owner · (267) 250-0466
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1912531633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
100 W EVERGREEN AVE, Philadelphia, PA 19118
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Other Providers at the Same Location NPPES 3

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

DR. WILLIAM JOHN O'DONNELL PSY.D.
Psychologist
100 W EVERGREEN AVE
PHILADELPHIA, PA 19118
Philadelphia County (610) 667-1351
GLORIA D ROHLFS MSW, LSW
Social Worker (Clinical)
100 W EVERGREEN AVE
PHILADELPHIA, PA 19118
Philadelphia County (215) 248-6287
DANIEL VIDAL LMT, CNS
Massage Therapist
100 W EVERGREEN AVE
PHILADELPHIA, PA 19118
Philadelphia County (267) 415-6003

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 Shadana Davis, Psyd PLLC's NPI number?

The NPI number for Shadana Davis, Psyd PLLC is 1912531633. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Shadana Davis, Psyd PLLC located?

Shadana Davis, Psyd PLLC is located at 100 W Evergreen Ave, Philadelphia, PA 19118. The listed phone number is (267) 282-1175.

What is Shadana Davis, Psyd PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Shadana Davis, Psyd PLLC was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.