LIVE WELL PSYCHOLOGY CENTER (NPI# 1902459670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902459670 |
| Entity Type | Organization |
| Organization Name | LIVE WELL PSYCHOLOGY CENTER |
| Practice Address |
48 Woodport Rd Suite 22 Sparta NJ 07871 |
| Practice Telephone | 9737265200 |
| Mailing Telephone | 9737265200 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | DR. ALEXANDRA MILLER (CLINICAL DIRECTOR, OWNER) |
| Authorized Official Telephone | 9737265200 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
48 WOODPORT RD SUITE 22 |
| City | SPARTA |
| State | NJ |
| Zip Code | 07871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860617 | Tulasi Jordan | Social Worker | 48 Woodport Rd, Sparta, NJ 07871-2424 | 2006-10-26 |
| 1306362074 | Susan Ann Scheel | Counselor | 48 Woodport Rd, Sparta, NJ 07871-2424 | 2017-08-15 |
| 1518330661 | Brittany Anne Wool | Counselor | 48 Woodport Rd, Sparta, NJ 07871-2424 | 2015-11-10 |
| 1124265715 | Center for Family Wellness | Clinic/Center | 48 Woodport Rd, Sparta, NJ 07871-2424 | 2009-01-19 |
| 1013031293 | Paula B Houck | Psychologist | 48 Woodport Rd, Sparta, NJ 07871-2424 | 2007-03-16 |
| 1316017197 | Sheri Martha Gibson-broyles | Social Worker | 48 Woodport Rd, Lower Level, Sparta, NJ 07871-2424 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412737 | Jennifer Lynne Coviello | Physical Therapist | 10 North N Village Blvd, Suite D, Sparta, NJ 07871 | 2020-09-17 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1013571165 | North Jersey Scoliosis and Physical Therapy Specialists, LLC | Physical Therapist | 580 Lafayette Rd, St K, Sparta, NJ 07871 | 2019-04-24 |
| 1356805881 | Amazing Strides of Nj LLC | Behavioral Analyst | #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 | 2019-01-29 |
| 1023589942 | Trinity Rehab Somerset Pa | Physical Therapist | 10 North Village Blvd, Suite D, Sparta, NJ 07871 | 2018-12-17 |
| 1053881649 | Lisa Arline Frisbie | Counselor | 25 Main Street Rear Suite, Sparta, NJ 07871 | 2018-11-27 |
| 1740756444 | Three Treasures Acupuncture of New Jersey, LLC | Acupuncturist | 43 Main Street Suite 102, Sparta, NJ 07871 | 2018-10-19 |
| 1952884181 | Capitol Care, Inc. | Community/Behavioral Health | 6 Laddey Lane, Sparta, NJ 07871 | 2018-09-13 |
| Find all providers in zip 07871 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770773566 | Alexandra Miller | Psychologist | 48 Woodport Rd Ste 22, Sparta, NJ 07871-2411 | 2007-07-27 |
| 1700917820 | Agnes Raeven | Psychologist | 3 Theatre Ctr, Sparta, NJ 07871-2410 | 2007-03-08 |
| 1164522926 | Michele W Buchbauer | Psychologist | 350 Sparta Ave., Suite C-8, Sparta, NJ 07871-1150 | 2006-09-22 |
| 1417955238 | Gerald Robert Nathan | Psychologist | 350 Sparta Ave, Ste C-8, Sparta, NJ 07871-1150 | 2005-07-14 |
| 1891185369 | Timothy Perry | Psychologist | 502 Dixie St, Sparta, GA 31087-1472 | 2015-02-04 |
| 1730421942 | Christopher J Belz | Psychologist | 350 Sparta Ave, Ste 8, Bldg C, Sparta, NJ 07871-1120 | 2013-03-26 |
| 1063705176 | Emily Elizabeth Brislin | Psychologist | 350 Sparta Ave, Ste C8, Sparta, NJ 07871-1120 | 2011-05-23 |
| 1013031293 | Paula B Houck | Psychologist | 48 Woodport Rd, Sparta, NJ 07871-2424 | 2007-03-16 |
| 1215004395 | Margaret Davis Jelly | Psychologist | 70 Sparta Ave, Suite 201, Sparta, NJ 07871 | 2006-11-30 |
| 1790893055 | Arthur Stephen Wiener | Psychologist | 350 Sparta Ave, C-8, Sparta, NJ 07871 | 2006-08-28 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.