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Deactivated NPI 1063424075 Deactivated / Inactive NPI Male Practitioner

Dr. John Sidney Davis , PhD

Psychologist - Counseling • Tampa, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2006
NPI Deactivation Date October 20, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Davis, PhD was a registered Psychologist - Counseling practicing in Tampa, FL. Throughout an active medical career spanning 15 years, Dr. Davis provided care at the practice location at 13000 BRUCE B DOWNS BLVD until profile deactivation on 2021-10-20.

Practice Location & Contact Primary Location

Practice Address

13000 Bruce B Downs Blvd

Tampa, FL 336124745

Telephone 8139722000
Fax 8139034814
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
22 Specialists

Practicing in Tampa, FL (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License FL PY3902

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bridget Shoulders-Odom , MS, ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003079906

Master of Science, ACNPBC

Dr. Luis Alvarado , MD

Internal Medicine

NPI 1003082645

Doctor of Medicine (M.D.)

Jamie Green , MSED, MSW

Social Worker - Clinical

NPI 1003230004

Master of Science in Education, Master of Social Work

Crystal Blair , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003269424

Advanced Registered Nurse Practitioner

Islena Keyes , RD, LD

Dietitian, Registered

NPI 1003329863

Registered Dietitian, Licensed Dietitian

NPI 1003398652

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 20, 2021

Record deactivated on October 20, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 13000 BRUCE B DOWNS BLVD, TAMPA, FL 336124745 (Tel: 8139722000)

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Updated Business Mailing Address July 08, 2007

Registered at 13000 BRUCE B DOWNS BLVD, TAMPA, FL 336124745 (Tel: 8139722000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DAVIS, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PY3902 in FL)

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Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063424075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: July 08, 2007
Deactivation Date: October 20, 2021

Mailing Address

13000 Bruce B Downs Blvd

Tampa, FL 336124745

Phone: 8139722000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.