ALEXANDRA DAVIS (PSY.D) – Clinical Neuropsychologist, NPI 1760115638

ALEXANDRA DAVIS (PSY.D) is a healthcare provider. based in Bay pines, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. PY12435 (FL). The NPI Number for ALEXANDRA DAVIS (PSY.D) is 1760115638

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA DAVIS (PSY.D)
NPI
1760115638
Phone
Not provided
Address
10000 BAY PINES BLVD BAY PINES
Enumeration Date
7 July 2022
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3524313940
Graduation Year
2023 (3 years ago)
PAC ID
7012423270
Group Practice PAC ID
9638306673
Professional Enrollment ID
I20250723002832
Address ID
FL347879556WI15544DRXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for ALEXANDRA DAVIS (PSY.D)

  • 10000 BAY PINES BLVD BAY PINES

    BAY PINES, FL 337448200

    Phone:

    Type: Mailing

  • 1401 RIVERPLACE BLVD APT 706

    JACKSONVILLE, FL 322079077

    Phone:

    Type: Mailing

  • 2950 HALCYON LN STE 704

    JACKSONVILLE, FL 322236692

    Phone: (904) 289-3119

    Fax: (187) 111-0460

    Type: Location

  • 318 AVIATION AVE NE

    PALM BAY, FL 329071928

    Phone:

    Type: Mailing

  • 1980 N ATLANTIC AVE

    COCOA BEACH, FL 329315213

    Phone: (321) 222-6189

    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: 2025-07-23

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
I20250723002832IClinical 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 33744)

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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: 9638306673View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
P S Y C H I A T R YFL
P S Y C H I A T R YNY
Mental Health CounselorFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What unique ID ties claims to ALEXANDRA DAVIS (PSY.D)?
NPI 1760115638 is assigned to ALEXANDRA DAVIS (PSY.D) under the national enumeration system.
Is ALEXANDRA DAVIS (PSY.D) currently active in the NPI registry?
CMS-published data lists ALEXANDRA DAVIS (PSY.D) as an active registrant.
Can you summarize ALEXANDRA DAVIS (PSY.D)'s specialty in plain language?
Clinically, the directory lists ALEXANDRA DAVIS (PSY.D) with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where is ALEXANDRA DAVIS (PSY.D)'s primary listing?
We display Bay Pines, Florida because that is what the record indicates for ALEXANDRA DAVIS (PSY.D).
Is ALEXANDRA DAVIS (PSY.D) a real provider?
This page reflects official NPPES data for NPI 1760115638. Always confirm identity and privileges with the practice and licensing boards.

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