Organization Active NPI

Better Life 4 You, L.L.C.

  • Clinical Psychologist
  • Clinton, MD
National Provider Identifier
1265501449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04258 Issued in MD
Legal business name
BETTER LIFE 4 YOU, L.L.C.
Practice address
7700 Old Branch Ave
Suite B105
Clinton, MD 20735-1628
Phone
(301) 807-8046
Fax
(240) 823-6000
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ivory M Roberts Clarke, PH.D.
Title
Founder
Phone
(301) 807-8046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 04258 MD Primary

Addresses

Primary practice location

7700 Old Branch Ave
Suite B105
Clinton, MD 20735-1628

Mailing address

PO Box 328
Upper Marlboro, MD 20773-0328
Phone (301) 807-8046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265501449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207730328",
            "telephone_number": "301-807-8046",
            "fax_number": "240-823-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "SUITE B105",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-807-8046",
            "fax_number": "240-823-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER LIFE 4 YOU, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS CLARKE",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "301-807-8046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

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