Mikol S Davis Child & Family Counseling A Prof Corp
NPI 1033412853ActiveOrganization· Psychologist, Clinical· San Rafael, CA
Psychologist, Clinical in San Rafael, California, registered in NPPES in December 2010. The authorized official on file is Mikol S. Davis, ED.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033412853 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2010 |
| Last updated in NPPES | Nov 21, 2025 |
| Certified by provider | Nov 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 00PL90630 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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