{"npi":"1104385327","type":"NPI-2","status":"active","name":{"display":"Christian Davis, PHD, LLC","other":[],"organization_name":"CHRISTIAN DAVIS, PHD, LLC","authorised_official":"Christian Davis"},"specialty":{"primary_taxonomy":"261QM0855X","primary_taxonomy_description":"Adolescent and Children Mental Health Clinic/Center","slug":"adolescent-and-children-mental-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"174 GRAND AVE","city":"ENGLEWOOD","state":"NJ","postal_code":"07631","country_code":"US","street_2":"1ST FLOOR #2","phone":"2015235499"},{"purpose":"MAILING","street_1":"174 GRAND AVE","city":"ENGLEWOOD","state":"NJ","postal_code":"07631","country_code":"US","street_2":"1ST FLOOR #2","phone":"2015235499"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-03-18","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}