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Deactivated NPI 1326044009 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth L Davis , PhD

Psychologist • Toledo, OH

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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. Kenneth Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2005
NPI Deactivation Date March 20, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Davis, PhD was a registered Psychologist practicing in Toledo, OH. Throughout an active medical career spanning 19 years, Dr. Davis provided care at the practice location at 3454 OAK ALLEY COURT until profile deactivation on 2024-03-20.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3454 Oak Alley Court
Suite 201

Toledo, OH 436061370

Telephone 4195356152
Fax 4195357917
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Toledo, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
50 Specialists

Practicing in Toledo, OH (1639 Statewide)

Telehealth Adoption Rate
6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
183 12 $185.00 $142.11

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 5048

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1174798722

Doctor of Philosophy (Ph.D.)

NPI 1558442392

Doctor of Philosophy (Ph.D.)

Dr. Denis Lynch , PhD

Psychologist - Clinical

NPI 1831145531

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

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Updated Practice Location January 26, 2023

Registered at 3454 OAK ALLEY CT STE 501, TOLEDO, OH 436061356 (Tel: 4195356152)

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Updated Business Mailing Address January 26, 2023

Registered at 3454 OAK ALLEY CT STE 501, TOLEDO, OH 436061356 (Tel: 4195356152)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2023

Psychologist (License #5048 in OH)

NPI Profile Active December 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2011

Registered at 3454 OAK ALLEY COURT, SUITE 201, TOLEDO, OH 436061370 (Tel: 4195356152)

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Updated Business Mailing Address December 12, 2011

Registered at 3454 OAK ALLEY COURT, SUITE 201, TOLEDO, OH 436061370 (Tel: 4195356152)

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Provider Name / Credentials Updated December 12, 2011

Recorded as KENNETH DAVIS, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2011

Psychologist (License #5048 in OH)

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Initial NPI Registration & Enumeration June 27, 2005

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: 1326044009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2005
Last Update: December 12, 2011
Deactivation Date: March 20, 2024

Mailing Address

3454 Oak Alley Court, Suite 201

Toledo, OH 436061370

Phone: 4195356152

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.