Joseph R. Davidow, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI004006000 Issued in NJ

Practice address

2021 New Rd Ste 10
Linwood, NJ 08221-1045

Phone

(609) 601-7737

NPI assigned

Dec 15, 2006

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph R. Davidow, Ed.D., LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Linwood, NJ
  • NPI 1922581677
  NPD (past) Authorized official
• Laura Janis Huberman, LLC

  • Clinical Social Worker
  • Linwood, NJ
  • NPI 1649418286
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1588726574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FRANCES AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211410",
            "telephone_number": "609-927-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NEW RD STE 10",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045",
            "telephone_number": "609-601-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOW",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI004006000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.