Organization Active NPI

Healthy Habits Peaceful Mind Therapy, LLC

  • Clinical Psychologist
  • Livingston, NJ
National Provider Identifier
1720977325
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HEALTHY HABITS PEACEFUL MIND THERAPY, LLC
Practice address
230 E Northfield Rd
Livingston, NJ 07039-4801
Phone
(973) 820-5174
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Debra S Gill, PHDNPI 1265669378
Title
Owner/Psychologist
Phone
(973) 820-5174

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

230 E Northfield Rd
Livingston, NJ 07039-4801

Mailing address

7976 Meadow Rush Loop
Sarasota, FL 34238-4318
Phone (973) 820-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904000183 NJ Part B Supplier - Clinic/Group Practice 5991207599 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, NJ

National Provider Directory

National Provider Directory
Tax ID family
Healthy Habits Peaceful Mind Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1720977325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7976 MEADOW RUSH LOOP",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384318",
            "telephone_number": "973-820-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E NORTHFIELD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394801",
            "telephone_number": "973-820-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HABITS PEACEFUL MIND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-820-5174",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.