Lift Off Therapy Center LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIFT OFF THERAPY CENTER LLC

Practice address

121 N Wayne Ave Ste 304
Wayne, PA 19087-3542

Phone

(610) 601-2748

Fax

(508) 433-1871

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Brian Robert McManus, PSY.D.NPI 1245744614

Title

Owner

Phone

(610) 601-2748

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian McManus, PH.D.

  • Clinical Psychologist
  • Wayne, PA
  • NPI 1245744614
  NPD Authorized official

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1225653744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 COUNTRY LN",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722121",
            "telephone_number": "610-601-2748",
            "fax_number": "508-433-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N WAYNE AVE STE 304",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873542",
            "telephone_number": "610-601-2748",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT OFF THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-601-2748",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LF & FP LLC (Triton Healthcare Partners)
• Xiaowei Li, M. PHIL.ED
• Philip Lieberman, MD
• Life Clinic of PA PC
• Lifecare Podiatry, P.C.
• Katherine S Linaugh
• Sonja Lindgren, MSS, LCSW
• Yoosly Lindor, NURSE PRACTITIONER
• Carol M Lipsky, PSY.D
• Akiah Lloyd

• Clinical Psychologist in Wayne, PA
• Providers in Wayne, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.