DR. KATHRYN MARIE DAVIS PSY.D.
NPI 1598997678
Psychologist - Clinical in San Bernardino, CA

NPI Status: Active since August 21, 2009

Contact Information

250 S G ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 382-7100

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  • Individual
  • Female
  • Years of Experience 14
  • Psychologist
  • Clinical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KATHRYN DAVIS

This page provides the complete NPI Profile along with additional information for Kathryn Davis, a provider established in San Bernardino, California with a medical specialization in Psychologist, focusing in clinical and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1598997678 assigned on August 2009. The practitioner's primary taxonomy code is 103TC0700X with license number PSY25988 (CA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1598997678
Provider Name
DR. KATHRYN MARIE DAVIS PSY.D.
Other Name
DR. KATHRYN MARIE PAVLIK PSY.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
250 S G ST SAN BERNARDINO, CA 92410
Location Phone
(909) 382-7100
Mailing Address
250 S G ST SAN BERNARDINO, CA 92410
Mailing Phone
(909) 382-7100
Mailing Fax
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
08-21-2009
Last Update Date
01-17-2018
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A clinical psychologist like Kathryn Davis assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY25988
License State
CA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Medicare Participation & PECOS Enrollment Status

Kathryn Davis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kathryn Davis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4587976782

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150630003138

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $44.85 for a new patient copayment and $26.16 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92410 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $179.42
  • Minimum New Patient Price $59.6
  • Maximum New Patient Price $179.42
  • Average New Patient Copayment $44.85
  • Minimum New Patient Copayment $14.9
  • Maximum New Patient Copayment $44.85

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $104.64
  • Minimum Established Patient Price $19.37
  • Maximum Established Patient Price $146.42
  • Average Established Patient Copayment $26.16
  • Minimum Established Patient Copayment $4.84
  • Maximum Established Patient Copayment $36.6

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. KATHRYN MARIE DAVIS PSY.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598997678
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518818914614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 8 + 9 + 1 + 4 + 6 + 1 + 4 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 88

The NPI number 1598997678 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679023394 SARA MADAI SAENZ-PAVON LCSW
Individual
Social Worker (Clinical)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1790111862 GRACE GOODMAN PSYD
Individual
Psychologist (Clinical)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1508270463 JESSA MARIE KOCH PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)250 S G ST
SAN BERNARDINO, CA 92410
(855) 558-1100
1093256919MFI RECOVERY CENTER
Organization
Substance Abuse Rehabilitation Facility250 S G ST
SAN BERNARDINO, CA 92410
(951) 683-6596
1538688486 ROCCO J MASSIMIANO PHARM.D.
Individual
Pharmacist250 S G ST
SAN BERNARDINO, CA 92410
(909) 771-2990
1043721939SAC HEALTH SYSTEM
Organization
Family Medicine250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1447791223 LADONNA M OELSCHLAEGER PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)250 S G ST
SAN BERNARDINO, CA 92410
(909) 558-4000
1801037346MRS. ERIKA JANET PEREZ LCSW
Individual
Social Worker (Clinical)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1184066334 SOO MIN JANG PHARM.D.
Individual
Pharmacist (Ambulatory Care)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1962797407MRS. TANYA P. L. CARCAMO LMFT
Individual
Marriage & Family Therapist250 S G ST
SAN BERNARDINO, CA 92410
(909) 558-4800
1619327798FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Organization
Radiology (Diagnostic Radiology)250 S G ST
SAN BERNARDINO, CA 92410
(909) 558-4000
1104467190DR. KARIN CECILIA ULLTJAERN DNP, RN, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1366085359 ANNA KIM
Individual
Pharmacist250 S G ST
SAN BERNARDINO, CA 92410
(909) 771-2990
1538449319 DIANA L NOVEMBER LCSW
Individual
Social Worker (Clinical)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1407494750DR. JOSHUA JOSEPH MASIH PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1275167926 ALMA ROSA VAZQUEZ LCSW
Individual
Social Worker (Clinical)250 S G ST
SAN BERNARDINO, CA 92410
(909) 558-4800
1942672456 ALLEN ZACHARY ORELLANA CADC II, A050090718
Individual
Counselor (Addiction (Substance Use Disorder))250 S G ST
SAN BERNARDINO, CA 92410
(951) 214-3828
1043690910DR. KELSEY LOUAINE CHEREPUSCHAK M.D.
Individual
Family Medicine250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100
1760515886MS. ELIZABETH ANNE PARK PSY.D.
Individual
Psychologist (Clinical)250 S G ST
SAN BERNARDINO, CA 92410
(909) 558-1000
1386044709 MAYRA E GARCIA
Individual
Social Worker (Clinical)250 S G ST
SAN BERNARDINO, CA 92410
(909) 382-7100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598997678, enumerated in the NPI registry as an "individual" on August 21, 2009

The provider is located at 250 S G St San Bernardino, Ca 92410 and the phone number is (909) 382-7100

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider has more than 14 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $179.42 with an average copayment of $44.85 for new patient appointments. Established patients should expect a typical charge of $104.64 and an average copayment of 26.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 21, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.