Active NPI
Malia D Davis
- Group Psychotherapy Psychologist
- East Orange, NJ
National Provider Identifier
1457260556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Practice address
- 134 Evergreen PL Ste 300
East Orange, NJ 07018-2010 - Phone
- (862) 245-1106
- NPI assigned
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | Primary |
Addresses
Primary practice location
134 Evergreen PL Ste 300
East Orange, NJ 07018-2010
Mailing address
10 Blazier Rd
Warren, NJ 07059-6909
Phone (415) 847-2001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1457260556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BLAZIER RD",
"city": "WARREN",
"state": "NJ",
"postal_code": "070596909",
"telephone_number": "415-847-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL STE 300",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182010",
"telephone_number": "862-245-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MALIA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.