NPIMap

Organization Active NPI

Albany Psychological Services for Eating Disorders, PLLC

Doing business as Livewell

  • Psychologist
  • Albany, NY
National Provider Identifier
1235479387
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ALBANY PSYCHOLOGICAL SERVICES FOR EATING DISORDERS, PLLC
Doing business as
Livewell
Practice address
1 Pine West PLZ Ste 106
Albany, NY 12205-5531
Phone
(518) 218-1188
Fax
(518) 218-1988
NPI assigned
Feb 27, 2013
Last updated
Feb 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Julie Nettina Morison, PHDNPI 1134209729
Title
Owner/ Psychologist
Phone
(518) 218-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Registered Dietitian 133V00000X
Registered Nurse 163W00000X

Addresses

Primary practice location

1 Pine West PLZ Ste 106
Albany, NY 12205-5531

Mailing address

1 Pine West PLZ Ste 106
Albany, NY 12205-5531
Phone (518) 218-1188

Other names 1

  • Livewell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Albany Psychological Services for Eating Disorders PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Pine West Plz
Ste 106
Albany, NY 12205
Phone (518) 218-1188

200 Great Oaks Blvd
Ste 215
Albany, NY 12203
Phone (518) 218-1188

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1235479387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINE WEST PLZ STE 106",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055531",
            "telephone_number": "518-218-1188",
            "fax_number": "518-218-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINE WEST PLZ STE 106",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055531",
            "telephone_number": "518-218-1188",
            "fax_number": "518-218-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY PSYCHOLOGICAL SERVICES FOR EATING DISORDERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "MORISON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "NETTINA",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "518-218-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livewell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.