DR. JEREMY J DAVIS PSY.D.
NPI 1922394220
Clinical Neuropsychologist in Salt Lake City, UT

Q: What is Jeremy Davis's NPI number?

The NPI number for Jeremy Davis is 1922394220. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Q: What is Jeremy Davis's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Davis was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment

30 N 1900 E, 1R55, SALT LAKE CITY, UT 84132(801) 581-2932 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Jeremy J Davis Psy.d. NPPES

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

DR. JEREMY J DAVIS PSY.D. (NPI 1922394220) is an individual clinical neuropsychologist in Salt Lake City, Utah, licensed in Utah (8081803-2501) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1922394220

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JEREMY J DAVISCredential: PSY.D.

Location Address30 N 1900 E, 1R55Salt Lake City, UT 84132-0002

Mailing Address30 N 1900 E, 1r55Salt Lake City, UT 84132-0002 · (801) 581-2932

Phone(801) 581-2932

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 24, 2011

Last NPPES UpdateNovember 3, 2011

✔ NPI 1922394220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in UT · 8081803-2501

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

30 N 1900 E, Salt Lake City, UT 84132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy J Davis Psy.d. 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 ID8921267139

PECOS Enrollment IDI20210216003402

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.

Medicare Billing Reassignments

Medicare enrollment records show Jeremy Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Specialty Services

4.6 mi

Obstetrics & Gynecology

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
163 clinicians in this Medicare group

NPI 1053715110 (801) 581-2121

University Of Texas Health Science Center At San Antonio

1,059 mi

Diagnostic Radiology

25753 OLD FREDERICKSBURG
Boerne, TX 78015

Reassigned Medicare billing, Texas enrollment
2,397 clinicians in this Medicare group

NPI 1417921834 (210) 450-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

232 services85 patients

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

179 services85 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

86 services86 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

86 services86 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

86 services86 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

83 services83 patients

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. ANNE WIERMAN ESTARES D.O.

Anesthesiology

30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132

Salt Lake County (719) 314-5254

DR. JEFFREY DAVID DILLON M.D.

Anesthesiology

30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-6393

QUINTON ALLRED PA-C

Physician Assistant (Medical)

30 N 1900 E
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7822

JEREMY ROYLE STODDART MD

Psychiatry & Neurology (Psychiatry)

30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132

Salt Lake County (801) 581-2121

DR. STEPHEN JAMES SUMMERS M.D.

Urology

30 N 1900 E, RM 3B420
SALT LAKE CITY, UT 84132

Salt Lake County (801) 213-2700

CHRISTINA MARIE DERBIDGE PHD

Psychologist (Clinical)

30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-6228

ANDRIA HOLMES HOLT RN

Nurse Practitioner (Obstetrics & Gynecology)

30 N 1900 E
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7647

ANDY NGUYEN

Internal Medicine

30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7899

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 1922394220. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Jeremy Davis located?

Jeremy Davis practices at 30 N 1900 E 1r55, Salt Lake City, UT 84132. The listed phone number is (801) 581-2932.

What is Jeremy Davis's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeremy Davis enrolled in Medicare?

Yes. Jeremy 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.

Which organizations bill Medicare for Jeremy Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Davis reassigns Medicare benefits to 2 organizations: University Of Utah Specialty Services (Salt Lake City, UT) and University Of Texas Health Science Center At San Antonio (Boerne, TX). Each 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 Jeremy Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Davis accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Jeremy 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 Jeremy Davis was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.