Davenport Psychology – Clinical Psychologist, NPI 1063797504

Davenport Psychology is a healthcare provider. based in Venice, Florida. specializing in Clinical Psychologist. The organization holds a License No. PY7978 (FL). The NPI Number for Davenport Psychology is 1063797504

Main info

Organization
Name
Davenport Psychology
NPI
1063797504
Phone
(941) 321-1971
Address
1525 TAMIAMI TRL S
Authorized Official
DR. CHARLES ROBERT DAVENPORT MANAGING MEMBER PSY.D.
Enumeration Date
16 October 2011
Last Update Date
10 June 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:14State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Davenport Psychology

  • 1525 TAMIAMI TRL S

    SUITE 603 A

    VENICE, FL 342853568

    Phone: (941) 321-1971

    Fax: (941) 866-0936

    Type: Mailing

  • 1608 OAK ST # 1608

    SARASOTA, FL 342367517

    Phone: (941) 321-1971

    Fax: (941) 866-0936

    Type: Mailing

  • 1608 OAK ST

    SARASOTA, FL 342367517

    Phone: (941) 321-1971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 34285)

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Reviews

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Frequently asked questions

Can I use this page to confirm Davenport Psychology's NPI?
Yes. Davenport Psychology is listed with NPI 1063797504 in the public NPI dataset.
Does CMS list Davenport Psychology as active?
Yes — Davenport Psychology is active in the NPI listing used on this page.
What is Davenport Psychology's primary classification?
Clinical Psychologist is the headline specialty for Davenport Psychology here. Clinical services aligned with this taxonomy classification.
Where is Davenport Psychology based?
Davenport Psychology is tied to Venice, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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