Provider Demographics
NPI:1700396223
Name:PHILIPS, JADA A (PHD)
Entity Type:Individual
Prefix:DR
First Name:JADA
Middle Name:A
Last Name:PHILIPS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JADA
Other - Middle Name:
Other - Last Name:DOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 CAMPUS DRIVE ARBOR CIRCLE SOUTH
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-6729
Mailing Address - Country:US
Mailing Address - Phone:844-777-8498
Mailing Address - Fax:
Practice Address - Street 1:8 CAMPUS DR STE 105
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4409
Practice Address - Country:US
Practice Address - Phone:844-777-8498
Practice Address - Fax:844-777-8498
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024079103TC0700X
NJ35SI00627600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical