DR. DIANA DAVIDSON (PH.D.) – Psychologist, NPI 1679993513

DR. DIANA DAVIDSON (PH.D.) is a healthcare provider. based in Cooper city, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY6623 (FL). The NPI Number for DR. DIANA DAVIDSON (PH.D.) is 1679993513

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANA DAVIDSON (PH.D.)
NPI
1679993513
Phone
(305) 297-9717
Address
9100 SW 55TH CT
Enumeration Date
18 April 2014
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616667256
Graduation Year
2000 (26 years ago)
PAC ID
8426311697
Professional Enrollment ID
I20180423000808
Address ID
FL334267941BO4781XAVEX404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. DIANA DAVIDSON (PH.D.)

  • 9100 SW 55TH CT

    COOPER CITY, FL 333285845

    Phone: (305) 297-9717

    Type: Mailing

  • 2200 NW CORPORATE BLVD. SUITE 300

    RELATIONSHIP CENTER OF SOUTH FLORIDA

    BOCA RATON, FL 33431

    Phone: (561) 955-6090

    Type: Location

  • 1774 SMYRNA RD SW

    CONYERS, GA 300946159

    Phone: (305) 297-9717

    Type: Mailing

  • 4781 N CONGRESS AVE # 2233

    BOYNTON BEACH, FL 334267941

    Phone: (561) 666-7256

    Type: Location

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: 2018-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180423000808IClinical PsychologistFLTBD

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 33328)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. DIANA DAVIDSON (PH.D.)?
NPI 1679993513 is assigned to DR. DIANA DAVIDSON (PH.D.) under the national enumeration system.
Is DR. DIANA DAVIDSON (PH.D.)'s NPI currently valid?
The extract we use shows DR. DIANA DAVIDSON (PH.D.) as active.
What does DR. DIANA DAVIDSON (PH.D.) treat or focus on?
Patients typically see DR. DIANA DAVIDSON (PH.D.) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DIANA DAVIDSON (PH.D.)?
The page summarizes Cooper City, Florida for DR. DIANA DAVIDSON (PH.D.); expand the address list for detail.
How can I contact DR. DIANA DAVIDSON (PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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