NPIMap

Organization Active NPI

Of Life Psychotherapy LLC

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1144996356
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OF LIFE PSYCHOTHERAPY LLC
Practice address
100 Overlook Ctr Ste 200
Princeton, NJ 08540-7814
Phone
(609) 273-5461
Fax
(954) 987-4756
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Kristi Rexroth
Title
Office Manager
Phone
(908) 698-2087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 Overlook Ctr Ste 200
Princeton, NJ 08540-7814

Mailing address

100 Overlook Ctr Ste 200
Princeton, NJ 08540-7814
Phone (609) 273-5461

National Provider Directory

National Provider Directory

Locations

100 Overlook Ctr
Ste 200
Princeton, NJ 08540
Phone (609) 273-5461

Practitioners & affiliated clinicians

Practitioners 2

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": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1144996356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OVERLOOK CTR STE 200",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407814",
            "telephone_number": "609-273-5461",
            "fax_number": "954-987-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OVERLOOK CTR STE 200",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407814",
            "telephone_number": "609-273-5461",
            "fax_number": "954-987-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OF LIFE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "REXROTH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-698-2087"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.