Active NPIIndividual providerSole proprietor

Dr. Peter Avery, PHD

Psychologist, Clinical in Montclair, New Jersey

NPI Number1023646387
Practice location
36 Park St, Montclair, NJ 07042-3440
Fax
—
Last updated
June 3, 2021

Peter Avery is a Psychologist, Clinical based in Montclair, NJ. Peter Avery practices in Montclair, NJ and has the professional credentials of PHD. The NPI Number for Peter Avery is 1023646387 and holds a License No. 023670 (NY). The current practice location address for Peter Avery is 36 Park St, Montclair, NJ 07042-3440 and can be reached out via phone at 973-865-1297.

Provider Profile Details

NPI Number
1023646387
Provider Name
Peter Avery
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
36 Park St, Montclair, NJ 07042-3440
Phone Number
973-865-1297
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2020
Last Update Date
June 3, 2021
Certification Date
June 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Park St
Montclair, NJ 07042-3440
Zip
07042-3440
Phone Number
973-865-1297
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
36 Park St
Montclair, NJ 07042-3440
City
Montclair
State
NJ
Zip
07042-3440
Phone Number
973-865-1297

License Information

License Number (1)
023670
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
6395
License State (2)
NJ
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Peter Avery, PHD?

The NPI number of Dr. Peter Avery, PHD is 1023646387. It was assigned on March 31, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter Avery, PHD?

Dr. Peter Avery, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 023670.

Where does Dr. Peter Avery, PHD practice?

The practice location is 36 Park St, Montclair, NJ 07042-3440. The office can be reached at 973-865-1297 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023646387 directly on the NPPES registry website.

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