Life Reimagined, NP in Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LIFE REIMAGINED, NP IN PSYCHIATRY, PLLC

Practice address

51 Commander Ave
Garden City, NY 11530-6607

Phone

(516) 642-5761

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tashonna Webster, PHD, PMHNPNPI 1336811074

Title

Owner

Phone

(516) 229-1394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Tashonna Webster, PHD, PMHNP, MPH, MS

  • Psychiatric/Mental Health Nurse Practitioner
  • Garden City, NY
  • NPI 1336811074
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1154038263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115563811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 COMMANDER AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306607",
            "telephone_number": "516-642-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE REIMAGINED, NP IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-30",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "TASHONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-229-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Licari, R.D.
• Lieberman NP in Psychiatry, PLLC
• Brad Samuel Lieberman, NP
• Derek Lieberman
• Jeffrey Wayne Lieberman, MD
• Life Skills Applied Behavior Analysis and Psychological Services, PC
• Life'S Worc
• Life'S Worc
• Life'S Worc
• Life'S Worc

• Psychiatry Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.