Organization Active NPI

Life Insight

  • Psychologist
  • Cresskill, NJ
National Provider Identifier
1285288829
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LIFE INSIGHT
Practice address
80 Broadway Unit 2B
Cresskill, NJ 07626-2164
Phone
(917) 488-5475
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Dr. Rebecca Yun, PH.D.
Title
Co-Owner
Phone
(917) 488-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

80 Broadway Unit 2B
Cresskill, NJ 07626-2164

Mailing address

80 Broadway Unit 2B
Cresskill, NJ 07626-2164
Phone (917) 488-5475

Other practice location 1

60 Westervelt Ave
Tenafly, NJ 07670-3201
Phone (201) 297-9170 ext. 701

National Provider Directory

National Provider Directory

Locations

80 Broadway
Unit 2B
Cresskill, NJ 07626
Phone (917) 488-5475

60 Westervelt Ave
Tenafly, NJ 07670
Phone 2012979170 ext. 703

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1285288829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROADWAY UNIT 2B",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262164",
            "telephone_number": "917-488-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BROADWAY UNIT 2B",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262164",
            "telephone_number": "917-488-5475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Westervelt Ave",
            "address_purpose": "LOCATION",
            "city": "Tenafly",
            "state": "NJ",
            "postal_code": "076703201",
            "country_code": "US",
            "telephone_number": "201-297-9170 x701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE INSIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "917-488-5475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresskill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.