Purposeful Life Therapy, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PURPOSEFUL LIFE THERAPY, LLC

Practice address

1831 Belmont Rd NW Apt 403
Washington, DC 20009-8108

Phone

(917) 860-7625

Fax

(202) 455-0969

NPI assigned

Aug 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Watson, PHDNPI 1972260651

Title

Owner

Phone

(917) 860-7625

Specialties & licenses 3

Addresses

Practitioners 1

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

• Carolyn Renee Watson, PHD

  • Cognitive & Behavioral Psychologist
  • Washington, DC
  • NPI 1972260651
  NPD Authorized official

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1023782703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 KENT DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940435280",
            "telephone_number": "917-860-7625",
            "fax_number": "202-455-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 BELMONT RD NW APT 403",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200098108",
            "telephone_number": "917-860-7625",
            "fax_number": "202-455-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFUL LIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-860-7625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Sports Physical Therapy
• Sudha Rani Purihella, LPC
• Alyssa Puritz
• Elizabeth Ann Purnell, MS, OTR/L
• Saquan Anthony Purnell
• Barbara Pursell
• Adam Ray Purvis
• Christine A Purvis, HHA
• Elisha Purvis, COTA/L
• Mariella Purvis, PAC

• Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.