Shaun Davis, Psyd, LLC
NPI 1770107187ActiveOrganization· Psychologist, Clinical· Newberg, OR
Psychologist, Clinical in Newberg, Oregon, registered in NPPES in June 2020. The authorized official on file is Shaun Davis, PSYD, Sole Member.
Overview
| NPI | 1770107187 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2020 |
| Last updated in NPPES | Feb 10, 2025 |
| Certified by provider | Feb 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
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 |
|---|
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