Lifepsych Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI03313 Issued in NJ

Legal business name

LIFEPSYCH CORP

Practice address

102 Browning LN
BLDG C, Suite 5
Cherry Hill, NJ 08003-3195

Phone

(856) 857-0881

Fax

(610) 361-9078

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leland D Mosby, PSYCHOLOGISTNPI 1366505828

Title

President-Ceo

Phone

(856) 857-0881

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Leland Darrell Mosby, ED.D.

  • Clinical Psychologist
  • Cherry Hill, NJ
  • NPI 1366505828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1720188014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BROWNING LN STE 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033195",
            "telephone_number": "856-857-0881",
            "fax_number": "610-361-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROWNING LN",
            "address_2": "BLDG C, SUITE 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033195",
            "telephone_number": "856-857-0881",
            "fax_number": "610-361-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPSYCH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "MOSBY",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "856-857-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI03313",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NJ",
            "license": "SI03313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3546773",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "001664744",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BC",
            "identifier": "2319112000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84554302",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIA HEALTH",
            "identifier": "2319112000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "538606000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard M Lieblich, M.D.
• Shannon M. Liew, PT
• Life Force Senior Care Corporation
• Life of Purpose NJ, LLC
• Life Steps
• Liferx.MD Inc.
• Lifestepsllc
• Lifestepsllc
• Lifestepsllc
• Lift Every Voice Counseling

• Clinical Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.