CARL D DAVIS — NPI 1366468126 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral in WINDSOR, MO)

CMS-1500 Box 24J / 33a • NPI

1366468126

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TB0200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral

Box 32 Service Location & ZIP+4

307 N MAIN ST, WINDSOR, MO, 65360-1449

✓ 9-Digit EDI 837 ZIP+4 (65360-1449)

Practice Phone & Referral Fax

(660) 647-9921

Fax: (660) 647-3617

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1366468126 (CARL D DAVIS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1366468126` (NPI-1 Individual Practitioner)
Provider / Legal Name	CARL D DAVIS
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral NUCC Code: `103TB0200X` (Psychologist, Cognitive & Behavioral)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	307 N MAIN ST, WINDSOR, MO, 65360-1449
Practice Telephone / Fax	Tel: (660) 647-9921 \| Fax: (660) 647-3617
Administrative Mailing Address	2701 STATION AVE, SEDALIA, MO, 65301-6778
Enumeration & Last Sync	Enumerated: 2006-07-14 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

307 N MAIN ST, WINDSOR, MO, 65360-1449

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Plain-English Taxonomy & CMS Crosswalk (103TB0200X)

What Does Taxonomy Code 103TB0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TB0200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Cognitive & Behavioral for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CARL D DAVIS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: MO \| License: `2002030477` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CARL D DAVIS (NPI #1366468126)