Life Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIFE PSYCHOLOGY LLC

Practice address

10552 Success LN Ste E
Dayton, OH 45458-3664

Phone

(937) 815-7208

Fax

(855) 251-5211

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Carly Deremo, PSYDNPI 1932621323

Title

Owner

Phone

(937) 815-7208

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carly Anne Deremo, PSYD

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1932621323
  NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1467295485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 SUCCESS LN STE E",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583664",
            "telephone_number": "937-815-7208",
            "fax_number": "855-251-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552 SUCCESS LN STE E",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583664",
            "telephone_number": "937-815-7208",
            "fax_number": "855-251-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "DEREMO",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-815-7208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Liette, MSW, LIW-S
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• Life Changing Family Care, LLC
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• Life Essentials, Inc.
• Lifesong Counseling LLC
• Lifessentials Counseling, LLC
• Lifestages - Samaritan Centers for Women LTD
• Lifted Living Care
• Jamie A. Liggins-Mapp, OT

• Clinical Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.