Christian Davis, PHD, LLC
Clinic/Center, Adolescent and Children Mental Health in Englewood, New Jersey
1104385327- Practice location
- 174 Grand Ave, 1ST Floor #2, Englewood, NJ 07631
- Phone
- 201-523-5499
- Fax
- —
- Last updated
- March 7, 2023
Christian Davis, PHD, LLC is a healthcare organization based in Englewood, NJ. Christian Davis, PHD, LLC practices in Englewood, NJ. The NPI Number for Christian Davis, PHD, LLC is 1104385327. The current practice location address for Christian Davis, PHD, LLC is 174 Grand Ave, 1ST Floor #2, Englewood, NJ 07631 and can be reached out via phone at 201-523-5499.
Provider Profile Details
- NPI Number
- 1104385327
- Provider Name
- Christian Davis, PHD, LLC
- Provider Entity Type
- Organization
- Address
- 174 Grand Ave, 1ST Floor #2, Englewood, NJ 07631
- Phone Number
- 201-523-5499
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Christian Davis, PHD · Licensed Psychologist · 201-523-5499
- Provider Enumeration Date
- March 18, 2019
- Last Update Date
- March 7, 2023
- Certification Date
- March 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 174 Grand Ave
1ST Floor #2
Englewood, NJ 07631 - City
- Englewood
- State
- New Jersey
- Zip
- 07631
- Phone Number
- 201-523-5499
Provider Business Mailing Address Details
- Address
- 174 Grand Ave
1ST Floor #2
Englewood, NJ 07631 - City
- Englewood
- State
- NJ
- Zip
- 07631
- Phone Number
- 201-523-5499
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Christian Davis, PHD, LLC?
The NPI number of Christian Davis, PHD, LLC is 1104385327. It was assigned on March 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Christian Davis, PHD, LLC?
Christian Davis, PHD, LLC is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X).
Where does Christian Davis, PHD, LLC practice?
The practice location is 174 Grand Ave, 1ST Floor #2, Englewood, NJ 07631. The office can be reached at 201-523-5499 (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 1104385327 directly on the NPPES registry website.