NPIMap

Organization Active NPI

Life Enhancement Psychotherapy LLC

  • Clinical Psychologist
  • Hanover, MA
National Provider Identifier
1578862272
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8649 Issued in MA
Legal business name
LIFE ENHANCEMENT PSYCHOTHERAPY LLC
Practice address
427 Columbia Rd Ste 108
Hanover, MA 02339
Phone
(617) 552-5124
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Leshelle Woodard, PH.D.NPI 1912087776
Title
Psychologist
Phone
(617) 552-5124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 8649 MA Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 115940 MA

Addresses

Primary practice location

427 Columbia Rd Ste 108
Hanover, MA 02339

Mailing address

PO Box 934
Hanover, MA 02339-0934
Phone (617) 552-5124

National Provider Directory

National Provider Directory

Locations

1100 Washington St
Ste 1
Hanover, MA 02339
Phone (617) 552-5124

427 Columbia Rd
Ste 108
Hanover, MA 02339
Phone (617) 552-5124

427 Columbia Rd
Ste 106
Hanover, MA 02339
Phone (617) 552-5124

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1578862272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023390934",
            "telephone_number": "617-552-5124",
            "fax_number": "888-317-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 COLUMBIA RD STE 108",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "02339",
            "telephone_number": "617-552-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "LESHELLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-552-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8649",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MA",
            "license": "115940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.