Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avita Integrative Care, LLC

Organization Psychologist · NPI 1821530148

Avita Integrative Care, LLC is a Psychologist in Fort Lee, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2016.

Licensed in
NJ, NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

440 W St Ste 312
Fort Lee, NJ 07024-5028
Phone: (888) 242-2732
Fax: (888) 242-2732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0450041113 (NJ)
Psychologist Taxonomy 103T00000X · Licence 0450041113 (NJ)
Psychologist Taxonomy 103T00000X · Licence 021116 (NY)

Record details

NPI number1821530148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kalman Khodik — Owner/Clinical Director · (888) 242-2732
Other names Avita Icare
NPI enumeratedNovember 17, 2016
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address440 West St Ste 312, Fort Lee, NJ 07024-5028

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