Active NPI
Joel Bruce Davidson, LPC, NCC
- Counselor
- Hartsdale, NY
National Provider Identifier
1043650062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401009855
- Practice address
- 555 W Hartsdale Ave
Hartsdale, NY 10530-1009 - Phone
- (914) 948-8333
- NPI assigned
- Jul 5, 2013
- Last updated
- Aug 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401009855 | MI | Primary |
Addresses
Primary practice location
555 W Hartsdale Ave
Hartsdale, NY 10530-1009
Mailing address
300 Martine Ave
Apt. 3E
White Plains, NY 10601-3459
Phone (914) 949-2764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009855 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1043650062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MARTINE AVE",
"address_2": "APT. 3E",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106013459",
"telephone_number": "914-949-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W HARTSDALE AVE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301009",
"telephone_number": "914-948-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JOEL",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401009855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.