Provider Demographics
NPI:1376623173
Name:COLLIER, JAMES CHRISTOPHER (PSYD, ABSNP)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:COLLIER
Suffix:
Gender:M
Credentials:PSYD, ABSNP
Other - Prefix:DR
Other - First Name:TOPHER
Other - Middle Name:
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, ABSNP
Mailing Address - Street 1:96 5TH AVE
Mailing Address - Street 2:APARTMENT 8J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7605
Mailing Address - Country:US
Mailing Address - Phone:212-675-2254
Mailing Address - Fax:212-579-3430
Practice Address - Street 1:115 CENTRAL PARK WEST
Practice Address - Street 2:OFFICE 5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-675-2254
Practice Address - Fax:212-579-3430
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014871103G00000X, 103T00000X, 103TB0200X, 103TC0700X, 103TC2200X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service