Christian Davis, PHD, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHRISTIAN DAVIS, PHD, LLC

Practice address

174 Grand Ave
1St Floor #2
Englewood, NJ 07631

Phone

(201) 523-5499

NPI assigned

Mar 18, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christian Davis, PHDNPI 1912363896

Title

Licensed Psychologist

Phone

(201) 523-5499

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Davis, PH.D.

  • Clinical Psychologist
  • Englewood, NJ
  • NPI 1912363896
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104385327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND AVE",
            "address_2": "1ST FLOOR #2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-523-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 GRAND AVE",
            "address_2": "1ST FLOOR #2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-523-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Cedar Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664304",
            "country_code": "US",
            "telephone_number": "201-523-5499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Hackensack Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016451",
            "country_code": "US",
            "telephone_number": "201-523-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIAN DAVIS, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-523-5499",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yun-Beom Choi, MD
• Ruth Christine Cholhan, MD
• Minjee Chong
• Carla Chonillo, M.D.
• Abraham Sultan Chowdhury, DPM
• Erik Chu, MD
• Rebecca Marie Chu, B.A
• Allegra Chuchul
• Shik Kei Chuk, MD
• Joshua Chul Chun

• Adolescent and Children Mental Health Clinic/Center in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.