NPIMap

Organization Active NPI

Life Psychotherapy LLC

  • Mental Health Counselor
  • East Brunswick, NJ
National Provider Identifier
1093252595
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00394000 Issued in NJ
Legal business name
LIFE PSYCHOTHERAPY LLC
Practice address
6 Auer CT
St D
East Brunswick, NJ 08816-5828
Phone
(732) 390-0007
Fax
(732) 390-0017
NPI assigned
Jan 23, 2017
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Maryia Sherman
Title
Ceo
Phone
(646) 244-2644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 37PC00394000 NJ Primary

Addresses

Primary practice location

6 Auer CT
St D
East Brunswick, NJ 08816-5828

Mailing address

6 Auer CT
St D
East Brunswick, NJ 08816-5828
Phone (732) 390-0007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1093252595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AUER CT",
            "address_2": "ST D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165828",
            "telephone_number": "732-390-0007",
            "fax_number": "732-390-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AUER CT",
            "address_2": "ST D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165828",
            "telephone_number": "732-390-0007",
            "fax_number": "732-390-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MARYIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-244-2644"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00394000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.