Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caitlin Park-Davidson

Individual provider Professional Counselor · NPI 1316595069

Caitlin Park-Davidson is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

4865 Market St
Philadelphia, PA 19139-3508
Phone: (610) 551-3163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC011666 (PA)

Record details

NPI number1316595069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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