Virginia Ellen Livesay, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31428 Issued in TX

Practice address

903 Forest St
Georgetown, TX 78626

Phone

(512) 864-9570

Fax

(512) 864-9570

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rebecca Burgman

  • Clinical Social Worker
  • Georgetown, TX
  • NPI 1750993077
  NPD (past)
• Rebecca Burgman LLC

  • Clinical Social Worker
  • Georgetown, TX
  • NPI 1134736382
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1316984792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FOREST ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-864-9570",
            "fax_number": "512-864-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FOREST ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-864-9570",
            "fax_number": "512-864-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVESAY",
        "first_name": "VIRGINIA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Carter Lindenfield, DC
• Danielle Marie Linders, MS, NCC, LPC, LCDC
• Lisse, LLC
• Little River Medical Group
• Little River Medical Group
• Living Life Counseling LLC
• LL Pediatric Therapy LLC
• Eden Llamas
• Laurie Benold Locke, MA LPC
• Kierstyn Judia Lockey, MA

• Clinical Psychologist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.