Taylor Perry Davine, PHD
NPI 1275142465ActiveIndividual· Psychologist· Brookfield, WI
Psychologist (PHD) in Brookfield, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2020). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1275142465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jul 23, 2020 |
| Last updated in NPPES | Jul 23, 2020 |
| Certified by provider | Jul 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Center for Behavioral Medicine SCBrookfield, WI · 11 clinicians
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