Gerina Jade' Davis, LMFT, MMFT, MACM

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

001969 Issued in NY

Practice address

176 Carlton Ave FL 2
Brooklyn, NY 11205-3207

Phone

(917) 202-5225

NPI assigned

Jul 26, 2022

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

Electronic endpoints 1

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1629704226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 CARLTON AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053207",
            "telephone_number": "917-202-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CARLTON AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053207",
            "telephone_number": "917-202-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GERINA",
        "middle_name": "JADE'",
        "credential": "LMFT, MMFT, MACM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": "001969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://gerina-jade.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "176 Carlton Ave Fl 2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112053207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna M Davis
• Doreen Yvette Davis, LCSW, PHD
• Eric Davis
• Faye Davis
• Geralene Davis, PH.D.
• Grace Davis
• Gracie Arlene Davis, LPN
• Gwendolyn N Davis
• Idalie Davis, M.D.
• Isaac Davis, FNP-BC

• Behavior Technician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.