DR. THOMAS BRADFORD DAVIDSON PSYD NPI 1720114986

NPI Information

NPI: 1720114986
Provider Name: DR. THOMAS BRADFORD DAVIDSON, PSYD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8000 E PRENTICE AVE
SUITE B-4
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (303) 796-8451
Get Directions

DR. Thomas Bradford Davidson, PSYD is a clinical neuropsychologist in Greenwood Village, CO. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Thomas Bradford Davidson, PSYD NPI is 1720114986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8000 E PRENTICE AVE
SUITE B-4
GREENWOOD VILLAGE, CO
ZIP 80111-744
Phone: (303) 796-8451
Fax: (303) 741-2878

The NPI 1720114986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/24/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		666-81	COLORADO	Yes
2	103TC0700X	Psychologist	Clinical	666-81	COLORADO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9788-6	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
2	07104490	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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