Provider Demographics
NPI:1538307319
Name:HELFGOTT, DAVID A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:HELFGOTT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:773 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2528
Mailing Address - Country:US
Mailing Address - Phone:908-499-4140
Mailing Address - Fax:908-721-0490
Practice Address - Street 1:773 CENTRAL AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2528
Practice Address - Country:US
Practice Address - Phone:908-499-4140
Practice Address - Fax:908-721-0490
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00463600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical