Organization Active NPI

Judith T. Davis, PHD, Psychologist, P.C.

  • Clinical Psychologist
  • Huntington, NY
National Provider Identifier
1932417730
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JUDITH T. DAVIS, PHD, PSYCHOLOGIST, P.C.
Practice address
27 Old Hickory LN
Huntington, NY 11743-2526
Phone
(631) 421-4174
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Judith T. Davis
Title
President
Phone
(631) 421-4174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

27 Old Hickory LN
Huntington, NY 11743-2526

Mailing address

27 Old Hickory LN
Huntington, NY 11743-2526
Phone (631) 421-4174

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1932417730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OLD HICKORY LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432526",
            "telephone_number": "631-421-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 OLD HICKORY LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432526",
            "telephone_number": "631-421-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH T. DAVIS, PHD, PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-421-4174",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.