Building Successful Lives LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BUILDING SUCCESSFUL LIVES LLC

Practice address

2801 SW College Rd Ste 3
Ocala, FL 34474-4430

Phone

(352) 804-2875

Fax

(352) 390-3868

NPI assigned

Feb 4, 2019

Last updated

Oct 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Anderson, PHDNPI 1700064664

Title

Clinical Psychologist

Phone

(352) 804-2875

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jacqueline Alexandra Anderson, PHD

  • Clinical Psychologist
  • Ocala, FL
  • NPI 1700064664
  Authorized official Same address or phone
• Mohamed S Khan

  • Clinical Psychologist
  • Ocala, FL
  • NPI 1093130957
  NPD
• Ava C Land, PH.D.

  • Clinical Psychologist
  • Ocala, FL
  • NPI 1609828458
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1164987103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772345",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344772345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SW COLLEGE RD STE 3",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744430",
            "telephone_number": "352-804-2875",
            "fax_number": "352-390-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING SUCCESSFUL LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "352-804-2875",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleah Jasmine Buenaventura
• Cherry Buenavista
• Adele V Buffington
• Yvonne Denise Buffington, LPN
• Marjoran Bugauisan, DPT
• Louise Marie Bullard, D.C.
• Cristina Bultron-Rodriguez, M.D.
• Tara Buman
• Michael D Bumbach, ARNP
• David Chambers Burdette, M.D.

• Clinical Psychologist in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.