Anne Davidson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019383 Issued in NY

Practice address

153 Roebling St
Fourth Floor, Suite 12
Brooklyn, NY 11211-3363

Phone

(347) 469-1273

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anne Blinkoff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1336418896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ROEBLING ST",
            "address_2": "FOURTH FLOOR, SUITE 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113363",
            "telephone_number": "347-469-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 ROEBLING ST",
            "address_2": "FOURTH FLOOR, SUITE 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113363",
            "telephone_number": "347-469-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BLINKOFF",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alla Davidson, RN, FNP
• Andrea Davidson, LMHC
• Andria Davidson
• Ania Davidson
• Anna Davidson, OTA
• Brittany Davidson
• Dana Margot Davidson, MS CCC-SLP
• Hanna Davidson, AUD
• Igor Davidson, PH.D.
• Ilya Davidson, OPTICIAN

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.