Healthcare Provider Details

I. General information

NPI: 1376623173
Provider Name (Legal Business Name): JAMES CHRISTOPHER COLLIER PSY.D., ABSNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TOPHER COLLIER PSY.D., ABSNP

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 CENTRAL PARK WEST OFFICE 5
NEW YORK NY
10023
US

IV. Provider business mailing address

96 5TH AVE APARTMENT 8J
NEW YORK NY
10011-7605
US

V. Phone/Fax

Practice location:
  • Phone: 212-675-2254
  • Fax: 212-579-3430
Mailing address:
  • Phone: 212-675-2254
  • Fax: 212-579-3430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number014871
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number014871
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number014871
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number014871
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number014871
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number014871
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: