Davis & Davis Psychology and Consulting Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DAVIS & DAVIS PSYCHOLOGY AND CONSULTING SERVICES

Doing business as

Soul Source Counseling
Soul Source Counseling & Wellness Center

Practice address

340 Franklin St FL 2
Bloomfield, NJ 07003-3491

Phone

(973) 327-3386

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bernice M. Davis, PSY.D.NPI 1871992396

Title

Ceo

Phone

(973) 327-3386

Specialties & licenses 1

Addresses

Other names 2

• Soul Source Counseling Doing business as
• Soul Source Counseling & Wellness Center Doing business as

Practitioners 1

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

• Bernice Davis

  • Clinical Psychologist
  • East Orange, NJ
  • NPI 1871992396
  NPD (past) Authorized official

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1922663160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LA FRANCE AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070037606",
            "telephone_number": "201-965-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FRANKLIN ST FL 2",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033491",
            "telephone_number": "973-327-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS & DAVIS PSYCHOLOGY AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-327-3386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Source Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soul Source Counseling & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Peter Damato, MD
• Steven F Danziger, PT
• Jessica M. Danzot
• Briana Darby
• David M Pizzano,DPM LLC
• Sharita Davis
• De Andrade Family Chiropractic
• Aurora De Juliis, M.D.
• Sharon De la Cerna, P.T.
• Rishina De Leon, NP-C

• Clinical Psychologist in Bloomfield, NJ
• Providers in Bloomfield, 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 May 16, 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.