CHRISTIAN DAVIS, PHD, LLC (NPI# 1104385327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104385327 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN DAVIS, PHD, LLC |
| Practice Address |
179 Cedar Ln Ste C Teaneck NJ 07666-4304 |
| Practice Telephone | 2015235499 |
| Mailing Telephone | 2015235499 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | CHRISTIAN DAVIS (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 2015235499 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
179 CEDAR LN STE C |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766375 | Grace Behavioral Health Services | Clinic/Center | 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 | 2020-09-24 |
| 1881213783 | Operation Hope | Clinic/Center | 45 Cross Rd, Colts Neck, NJ 07722-1211 | 2020-04-10 |
| 1003441809 | Madison Counseling LLC | Clinic/Center | 333 Main St Ste 200, Madison, NJ 07940-2370 | 2020-03-12 |
| 1386108488 | On Your Mark Teen Counseling Center, LLC | Clinic/Center | 605 Valley Rd Ste 4, Upper Montclair, NJ 07043-1455 | 2019-01-23 |
| 1699247635 | Stanford Ctc Services, LLC | Clinic/Center | 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975 | 2018-12-31 |
| 1114496916 | Transformations Therapy Center LLC | Clinic/Center | 110 Hillside Ave Ste 301, Springfield, NJ 07081-3007 | 2018-11-21 |
| 1508345257 | Connect Counseling & Wellness, LLC | Clinic/Center | 155 County Rd Ste 14, Cresskill, NJ 07626-2200 | 2018-08-13 |
| 1730694688 | Comprehensive Behavioral Healthcare, Inc. | Clinic/Center | 187 Kearny Ave, Kearny, NJ 07032-2437 | 2017-12-13 |
| 1295258424 | Cnv Counseling Services LLC | Clinic/Center | 22 Coventry Dr, Freehold, NJ 07728-3164 | 2017-07-19 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.