Avita Integrative Care, LLC
NPI 1821530148 · Clinical Psychologist · Fort Lee, NJ
Avita Integrative Care, LLC is a Clinical Psychologist organization in Fort Lee, NJ (NPI 1821530148).
Provider details
- NPI number
- 1821530148
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kalman Khodik, Owner/Clinical Director(888) 242-2732
- License
- 0450041113 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Avita Icare
Registry dates
- Enumerated
- 2016-11-17
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Frequently asked questions
- What is Avita Integrative Care, LLC's NPI number?
- Avita Integrative Care, LLC's National Provider Identifier (NPI) is 1821530148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avita Integrative Care, LLC?
- Avita Integrative Care, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Avita Integrative Care, LLC located?
- Avita Integrative Care, LLC's practice location on file with NPPES is 440 West St Ste 312, Fort Lee, NJ 07024-5028.
- What is Avita Integrative Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Avita Integrative Care, LLC is (888) 242-2732.
- Who is the authorized official for Avita Integrative Care, LLC?
- The authorized official listed on Avita Integrative Care, LLC's NPPES record is Kalman Khodik, Owner/Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avita Integrative Care, LLC's NPI active?
- Yes — Avita Integrative Care, LLC's NPI (1821530148) is active in the NPPES registry as of the last update on 2022-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.