Live Well Psychology Group, Inc

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Legal business name

LIVE WELL PSYCHOLOGY GROUP, INC

Practice address

11845 W Olympic Blvd Ste 1080W
Los Angeles, CA 90064-5023

Phone

(424) 453-8084

NPI assigned

Jul 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexia Holovatyk, PH.D.NPI 1174290969

Title

President

Phone

(424) 453-8089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexia Holovatyk, PHD

  • Psychologist
  • Los Angeles, CA
  • NPI 1174290969
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1013755917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 HILL ST APT 3",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054284",
            "telephone_number": "330-507-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD STE 1080W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645023",
            "telephone_number": "424-453-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PSYCHOLOGY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "HOLOVATYK",
        "authorized_official_first_name": "ALEXIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-453-8089",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeyu Liu
• Tommy Liung
• Autumn Rose Livas
• Live Forward Psychological Inc
• Live Well Lifestyle LLC
• Hannah Rebecca Lively-Endicott, MD
• Masha J. Livhits, M.D.
• Living Rebos, LLC
• Living Way Inc
• Living With Clarity Therapy

• Health Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.