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CHRISTIAN DAVIS, PHD, LLC
NPI 1104385327
Clinic/Center - Adolescent and Children Mental Health in Englewood, NJ

Active since March 18, 2019
174 GRAND AVE, 1ST FLOOR #2, ENGLEWOOD, NJ 07631(201) 523-5499 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Mar 12, 2021, Mar 18, 2019 (3 updates tracked since 2019).

About Christian Davis, Phd, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN DAVIS, PHD, LLC (NPI 1104385327) is a healthcare organization registered as an adolescent and children mental health in Englewood, New Jersey and active in the NPI registry since March 2019. The organization maintains 2 additional practice locations and lists Christian Davis, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104385327
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCHRISTIAN DAVIS, PHD, LLC
Location Address174 GRAND AVE, 1ST FLOOR #2Englewood, NJ 07631
Mailing Address174 Grand Ave, 1st Floor #2Englewood, NJ 07631 · (201) 523-5499
Phone(201) 523-5499
Organization SubpartNo
Authorized OfficialChristian DavisLicensed Psychologist · (201) 523-5499
Enumeration DateMarch 18, 2019
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1104385327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
174 GRAND AVE, Englewood, NJ 07631
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1411 Hackensack Ave Ste 200Hackensack, NJ 07601-6451 · Phone (201) 523-5499
Location 2179 Cedar Ln Ste CTeaneck, NJ 07666-4304 · Phone (201) 523-5499

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY JOAN STIUSO APN
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
174 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 788-1000
KERRY J CALLAHAN LCSW
Social Worker (Clinical)
174 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 370-2289
EVA OLIVARES LCSW
Social Worker (Clinical)
174 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 819-9442
DR. CHRISTIAN DAVIS PH.D.
Psychologist (Clinical)
174 GRAND AVE, 1ST FLOOR #2
ENGLEWOOD, NJ 07631
Bergen County (201) 523-5499
MRS. LINDA SALZER MSS
Social Worker (Clinical)
174 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 569-7948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Davis, Phd, LLC's NPI number?

The NPI number for Christian Davis, Phd, LLC is 1104385327. It was assigned to this organization in the NPPES registry on March 18, 2019.

Where is Christian Davis, Phd, LLC located?

Christian Davis, Phd, LLC is located at 174 Grand Ave 1st Floor #2, Englewood, NJ 07631. The listed phone number is (201) 523-5499.

What is Christian Davis, Phd, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Christian Davis, Phd, LLC was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.