Stacey Davis, PH.D.

Clinical Psychologist · St Augustine, FL

Individual Active NPI

NPI number 1134397128

Practice location

403 Anastasia Blvd
St Augustine, FL 32080-4508
Phone
(904) 834-1366

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NPI record

NPI
1134397128
Entity type
Individual (Type 1)
Enumeration date
February 13, 2008
Last updated
March 3, 2026
Certified
March 3, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PY7649 FL

Mailing address

307 Tumbled Stone Way
St Augustine, FL 32086-0230
Phone
(352) 870-8173

About Dr. Davis

Stacey Davis, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 403 Anastasia Blvd, St Augustine, FL 32080-4508. The NPI number 1134397128 was assigned on February 13, 2008 and the record was last updated on March 3, 2026.

Dr. Davis lists a license in the registry: #PY7649 (FL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacey Davis, PH.D.?

The NPI number is 1134397128.

What is the phone number of Dr. Davis?

The phone number listed for the practice location is (904) 834-1366.

Where is Dr. Davis located?

403 Anastasia Blvd, St Augustine, FL 32080-4508.

What is the taxonomy code for Dr. Davis?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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