Optimum Living Psychology, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

OPTIMUM LIVING PSYCHOLOGY, PLLC

Practice address

111 W Main St Ste 307
Inverness, FL 34450-4807

Phone

(352) 201-4955

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Faith Powers, PSY.D.NPI 1740587328

Title

Licensed Psychologist/Owner

Phone

(352) 201-4955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Faith J Powers, PSY.D.

  • Psychologist
  • Inverness, FL
  • NPI 1740587328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1609425016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST STE 307",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504807",
            "telephone_number": "352-201-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST STE 307",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504807",
            "telephone_number": "352-201-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM LIVING PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "352-201-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Inverness, FL
• Providers in Inverness, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.