Provider Demographics
NPI:1386182459
Name:SINGER, DAVID (PSYD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:PSYD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 HASTINGS ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3724
Mailing Address - Country:US
Mailing Address - Phone:347-470-1983
Mailing Address - Fax:
Practice Address - Street 1:53 HASTINGS ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3724
Practice Address - Country:US
Practice Address - Phone:347-470-1983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJDCATEMP-034874103T00000X
251S00000X
NY023992103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ22-2887044OtherWE ARE NOT A MEDICARE PROVIDER