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

Dr. Kenneth Paul Davison, PSYD

Individual provider Clinical Psychologist · NPI 1104844240

Dr. Kenneth Paul Davison, PSYD is a Clinical Psychologist in Downers Grove, Illinois. Qualified in 1998, 28 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1341 Warren Ave
Downers Grove, IL 60515-3437
Phone: (630) 719-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071-006015 (IL)

Record details

NPI number1104844240
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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