Live Forward Psychological Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20105 Issued in CA

Legal business name

LIVE FORWARD PSYCHOLOGICAL INC

Practice address

1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013

Phone

(424) 335-3529

NPI assigned

Mar 17, 2013

Organization subpart

No

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

Authorized official

Name

Jennice Vilhauer, PHDNPI 1134203417

Title

Director

Phone

(424) 335-3529

Specialties & licenses 1

Addresses

Other names 1

• The Well Mind Institute Doing business as

Locations

Practitioners 1

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

• Jennice Vilhauer, PHD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1134203417
  NPD Authorized official

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1477895431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 W SUNSET BLVD # 919",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464411",
            "telephone_number": "424-335-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257013",
            "telephone_number": "424-335-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE FORWARD PSYCHOLOGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-17",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "VILHAUER",
        "authorized_official_first_name": "JENNICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "424-335-3529",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Well Mind Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yun-Wei Liu
• Yuqi Liu
• Zeyu Liu
• Tommy Liung
• Autumn Rose Livas
• Live Well Lifestyle LLC
• Live Well Psychology Group, Inc
• Hannah Rebecca Lively-Endicott, MD
• Masha J. Livhits, M.D.
• Living Rebos, LLC

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.