Organization Active NPI

Reset Your Soul, PLLC

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1255078937
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RESET YOUR SOUL, PLLC
Practice address
150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833
Phone
(561) 465-7471
NPI assigned
May 16, 2022
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Susan J Bily-Lindner, PSYDNPI 1003992843
Title
Owner
Phone
(516) 627-0234

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833

Mailing address

150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833
Phone (561) 465-7471

National Provider Directory

National Provider Directory

Locations

150 E Palmetto Park Rd
Ste 800
Boca Raton, FL 33432
Phone (561) 465-7500

Practitioners & affiliated clinicians

Practitioners 1

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1255078937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PALMETTO PARK RD STE 800",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324833",
            "telephone_number": "561-465-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PALMETTO PARK RD STE 800",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324833",
            "telephone_number": "561-465-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET YOUR SOUL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "BILY-LINDNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-627-0234",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.