STEVEN J. DAVIS (PH.D.) – Clinical Psychologist, NPI 1083642060

STEVEN J. DAVIS (PH.D.) is a healthcare provider. based in Medina, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 852 (OH). The NPI Number for STEVEN J. DAVIS (PH.D.) is 1083642060

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN J. DAVIS (PH.D.)
NPI
1083642060
Phone
(330) 764-7916
Address
3591 RESERVE COMMONS DR
Enumeration Date
29 June 2006
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308150436
Graduation Year
1989 (37 years ago)
PAC ID
3779485859
Professional Enrollment ID
I20221122002306
Address ID
OH443332425FA3618XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for STEVEN J. DAVIS (PH.D.)

  • 3591, Reserve Commons Drive, Medina Township, Medina County, Ohio, 44256, United States

    SUITE 301

    MEDINA, OH 442565334

    Phone: (330) 764-7916

    Fax: (330) 723-6399

    Type: Location

  • 523, Wembley Drive, Fairlawn Heights, Akron, Summit County, Ohio, 44313, United States

    AKRON, OH 443134550

    Phone: (330) 815-0436

    Fax: (330) 723-6399

    Type: Mailing

  • 3618 W MARKET ST STE 5

    FAIRLAWN, OH 443332425

    Phone: (330) 815-0436

    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: 2022-11-22

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
I20221122002306IClinical PsychologistOHTBD

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 44256)

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Reviews

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Frequently asked questions

Is there an official ID for STEVEN J. DAVIS (PH.D.) in U.S. healthcare records?
The official identifier for STEVEN J. DAVIS (PH.D.) is NPI 1083642060.
Active or inactive — what applies to STEVEN J. DAVIS (PH.D.)?
You should see STEVEN J. DAVIS (PH.D.) as active in CMS-hosted NPPES data.
What area of care is associated with STEVEN J. DAVIS (PH.D.)?
STEVEN J. DAVIS (PH.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is STEVEN J. DAVIS (PH.D.) located near Medina?
STEVEN J. DAVIS (PH.D.) currently maps to Medina, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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