Sphinx Life Coaching

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL05582700 Issued in NJ

Legal business name

SPHINX LIFE COACHING

Practice address

276 Branch Brook Dr Apt a
Belleville, NJ 07109-3620

Phone

(862) 485-7941

NPI assigned

Jul 21, 2014

Last updated

Jul 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey Wilson

Title

Manager/Clinician

Phone

(862) 485-7941

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1629485792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 BRANCH BROOK DR APT A",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093620",
            "telephone_number": "862-485-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 BRANCH BROOK DR APT A",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093620",
            "telephone_number": "862-485-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPHINX LIFE COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "MANAGER/CLINICIAN",
        "authorized_official_telephone_number": "862-485-7941"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05582700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162353",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamielee Smith, MA, LPC, LCADC
• Maria D. Soliman, P.A.
• Adel Basily Sorial, MD
• South Mountain Nephrology, LLC
• Special Care OB/GYN Associates Inc
• Spine and Healthcare Center of Belleville
• Spine and Rehabilitation Center of Belleville
• Etan B Spira, M.D.
• Robert S. Spira, M.D.
• St Michael's Medical Center

• Clinical Social Worker in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.