Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Glen Priester Davis, MD

Individual provider Psychiatry Physician · NPI 1912128356

Dr. Glen Priester Davis, MD practises Psychiatry in New York, New York. Graduated from Js Weill Medical College, Cornell University in 2004, 22 years ago. Practices with Institute for Community Living , Inc, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
22
Trained at
Js Weill Medical College, Cornell University
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

198 E 121st St
New York, NY 10035-3523 Not confirmed with CMS for 12 years — call before visiting
Phone: (212) 803-2727
Fax: (646) 335-0667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 239049 (NY)
General Acute Care Hospital Taxonomy 282N00000X · Licence 239049 (NY)

Record details

NPI number1912128356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESMarch 12, 2014

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Institute For Community Living , Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Institute for Community Living , Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.

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