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

Mikol S. Davis, EDD

Individual provider Clinical Psychologist · NPI 1073525895

Mikol S. Davis, EDD is a Clinical Psychologist in San Rafael, California. Graduated from University of California, San Francisco School of Medicine in 1980, 46 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

930 Irwin St Ste 215
San Rafael, CA 94901-3340
Phone: (415) 459-1203
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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 PSY 9063 (CA)

Record details

NPI number1073525895
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESJanuary 29, 2013
Mailing address930 Irwin St, Suite 215, San Rafael, CA 94901-3340

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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