CHRISTIAN DAVIS, PHD, LLC – NPI #1104385327
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
CHRISTIAN DAVIS, PHD, LLC is an AHC clinic located in ENGLEWOOD, NJ. NPPES has assigned the NPI number 1104385327 to CHRISTIAN DAVIS, PHD, LLC on March 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health
The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTIAN DAVIS, PHD, LLC below.
NPI Profile for
CHRISTIAN DAVIS, PHD, LLC
(more than 7 years ago)
1ST FLOOR #2
ENGLEWOOD, NJ 07631 Phone: (201) 523-5499 Fax:
2 Other location(s):
Hackensack, NJ 07601-6451
Phone: (201) 523-5499
Teaneck, NJ 07666-4304
Phone: (201) 523-5499
LICENSED PSYCHOLOGIST
Phone: (201) 523-5499
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health (Primary) |
||
| 261QM0850X - Clinic/Center / Adult Mental Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.