DR. JOHN AUSTIN DAVIS (PSY.D.) – Clinical Psychologist, NPI 1083728513

DR. JOHN AUSTIN DAVIS (PSY.D.) is a healthcare provider. based in Redlands, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PSY19368 (CA). The NPI Number for DR. JOHN AUSTIN DAVIS (PSY.D.) is 1083728513

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN AUSTIN DAVIS (PSY.D.)
NPI
1083728513
Phone
(909) 214-3968
Address
300 E STATE ST
Enumeration Date
19 August 2006
Last Update Date
25 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098641097
Graduation Year
2000 (26 years ago)
PAC ID
9335224088
Group Practice PAC ID
4789867805
Professional Enrollment ID
I20160608002147
Address ID
CA923135172GR11980AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. JOHN AUSTIN DAVIS (PSY.D.)

  • Citrus Center, 300, East State Street, Downtown Redlands, Redlands, San Bernardino County, California, 92374, United States

    REDLANDS, CA 923735235

    Phone: (909) 214-3968

    Type: Location

  • 9341, Lofty Lane, Cherry Valley, Riverside County, California, 92223, United States

    CHERRY VALLEY, CA 922233659

    Phone: (909) 214-3968

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080305000737IClinical PsychologistCATBD
I20160608002147IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92373)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789867805View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOHN AUSTIN DAVIS (PSY.D.)'s NPI?
Yes. DR. JOHN AUSTIN DAVIS (PSY.D.) is listed with NPI 1083728513 in the public NPI dataset.
Can I rely on DR. JOHN AUSTIN DAVIS (PSY.D.) being an active provider?
As of the registry snapshot, DR. JOHN AUSTIN DAVIS (PSY.D.) is marked active.
What healthcare role does DR. JOHN AUSTIN DAVIS (PSY.D.) hold?
Scheduling teams often label DR. JOHN AUSTIN DAVIS (PSY.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOHN AUSTIN DAVIS (PSY.D.)?
DR. JOHN AUSTIN DAVIS (PSY.D.)'s geographic hint is Redlands, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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