NPI age
15 years
Enumerated 2010-12-23
● Active
Type 1 · Individual
Kelly S Davis, PH.D.
Davis is 1 of 14 psychologist providers in Idaho Falls and 1 of 235 in Idaho.
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
CA, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 235 active psychologist providers in Idaho.
NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-12Enumerated in NPPES
2010
2026
Where they practice
Practice location
1795 W Broadway St # 125
Idaho Falls, ID 834023045
Mailing address
1795 W Broadway St # 125
Idaho Falls, ID 834023045
Specialties
-
Psychologist PrimaryA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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