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ELLA MAMANTA DAVIDSON
NPI 1982371589
Counselor in Berkeley, CA

Active since August 23, 2021Opted out of Medicare · through Jul 13, 2028
904 PANORAMIC WAY, BERKELEY, CA 94704(845) 705-0371 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ella Mamanta Davidson NPPES

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

ELLA MAMANTA DAVIDSON (NPI 1982371589) is an individual counselor in Berkeley, California and active in the NPI registry since August 2021. She has opted out of Medicare through July 13, 2028.

NPPES Registry Identity

NPI1982371589
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameELLA MAMANTA DAVIDSON
Location Address904 PANORAMIC WAYBerkeley, CA 94704-2540
Mailing Address904 Panoramic WayBerkeley, CA 94704-2540
Phone(845) 705-0371
Sole ProprietorNo
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1982371589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
904 PANORAMIC WAY, Berkeley, CA 94704
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ella Mamanta Davidson 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 July 13, 2026 through July 13, 2028.

Opt-Out Effective DateJuly 13, 2026
Opt-Out In Effect ThroughJuly 13, 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 Ella Davidson's NPI number?

The NPI number for Ella Davidson is 1982371589. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Ella Davidson located?

Ella Davidson practices at 904 Panoramic Way, Berkeley, CA 94704. The listed phone number is (845) 705-0371.

What is Ella Davidson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ella Davidson enrolled in Medicare?

No. Ella Davidson has opted out of Medicare through July 13, 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 Ella Davidson was last updated on August 23, 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.