Kelly S. Davis, PH.D.
NPI 1306140827ActiveIndividual· Psychologist, Clinical· Idaho Falls, ID
Psychologist, Clinical (PH.D.) in Idaho Falls, Idaho, licensed in CA and ID, with an NPI issued in December 2010. Medicare paid $7,846 for services to 14 patients in 2024.
Overview
| NPI | 1306140827 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Dec 23, 2010 |
| Last updated in NPPES | Dec 30, 2024 |
| Certified by provider | Dec 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY35176 | CA |
| Psychologist, Clinical | 103TC0700X | PSY-203118 | ID |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 113 across 9 procedure codes |
| Paid by Medicare | $7,846 |
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