Active NPI
Life Coach Psychology
- Community/Behavioral Health Agency
- Berrien Springs, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE COACH PSYCHOLOGY
- Practice address
- 9067 US Highway 31
Berrien Springs, MI 49103-1664 - Phone
- (269) 815-5331
- Fax
- (269) 815-5061
- NPI assigned
- Mar 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harold B Smith, PSY.D.
- Title
- President
- Phone
- (269) 815-8531
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9067 US Highway 31
Berrien Springs, MI 49103-1664
Mailing address
9067 US Highway 31
Berrien Springs, MI 49103-1664
Phone (269) 815-5331
National Provider Directory
National Provider Directory- Tax ID family
- Life Coach Psychology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Berrien Springs, MI
- NPI 1831495993
Locations
9067 US Highway 31
Berrien Springs, MI 49103
Phone (269) 277-0549
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Berrien Springs, MI
- NPI 1003881533
-
- Clinical Social Worker
- Berrien Springs, MI
- NPI 1740588052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1023317161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9067 US HIGHWAY 31",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031664",
"telephone_number": "269-815-5331",
"fax_number": "269-815-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9067 US HIGHWAY 31",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031664",
"telephone_number": "269-815-5331",
"fax_number": "269-815-5061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE COACH PSYCHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-815-8531",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.