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DEBRA L. DAVIS, PHD LIMITED LIABILITY COMPANY
NPI 1730553579
Community/Behavioral Health in Teaneck, NJ

Active since November 17, 2015
179 CEDAR LN, F, TEANECK, NJ 07666(201) 207-6294(201) 690-6376 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Debra L. Davis, Phd Limited Liability Company NPPES

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

DEBRA L. DAVIS, PHD LIMITED LIABILITY COMPANY (NPI 1730553579) is a healthcare organization registered as a community/behavioral health in Teaneck, New Jersey and active in the NPI registry since November 2015. The organization lists Debra Lynnd Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1730553579
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDEBRA L. DAVIS, PHD LIMITED LIABILITY COMPANY
Location Address179 CEDAR LN, FTeaneck, NJ 07666-4304
Mailing Address10 Forest AveMontvale, NJ 07645-2205 · (201) 207-6294 · Fax (201) 690-6376
Phone(201) 207-6294
Fax(201) 690-6376
Organization SubpartNo
Authorized OfficialDebra Lynnd DavisOwner · (201) 207-6294
Enumeration DateNovember 17, 2015
✔ NPI 1730553579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NJ · 35SI00541200
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
179 CEDAR LN, Teaneck, NJ 07666
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra L. Davis, Phd Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Debra L. Davis, Phd Limited Liability Company, which bills Medicare for the services this clinician delivers.

Clinician (1)

Debra Davis, PHD
Clinical Psychologist
NPI 1942680020
179 CEDAR LANE SUITE C
Teaneck, NJ 07666
(201) 505-8972
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Debra L. Davis, Phd Limited Liability Company's NPI number?

The NPI number for Debra L. Davis, Phd Limited Liability Company is 1730553579. It was assigned to this organization in the NPPES registry on November 17, 2015.

Where is Debra L. Davis, Phd Limited Liability Company located?

Debra L. Davis, Phd Limited Liability Company is located at 179 Cedar Ln F, Teaneck, NJ 07666. The listed phone number is (201) 207-6294.

What is Debra L. Davis, Phd Limited Liability Company's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Debra L. Davis, Phd Limited Liability Company enrolled in Medicare?

Yes. Debra L. Davis, Phd Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Debra L. Davis, Phd Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Debra L. Davis, Phd Limited Liability Company. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Debra L. Davis, Phd Limited Liability Company was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.