Healthcare Provider Details

I. General information

NPI: 1083527766
Provider Name (Legal Business Name): ALEXA LAUREN DANOFF PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 W END AVE APT 2B
NEW YORK NY
10025-5551
US

IV. Provider business mailing address

777 W END AVE APT 2B
NEW YORK NY
10025-5551
US

V. Phone/Fax

Practice location:
  • Phone: 201-328-4820
  • Fax:
Mailing address:
  • Phone: 201-328-4820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number027296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: