The Journey

Primary specialty

PsychologistTaxonomy code 103T00000X

License

114581-2501 Issued in UT

Legal business name

THE JOURNEY

Doing business as

The Journey

Practice address

619 N 500 W
Provo, UT 84601-1547

Phone

(435) 459-9222

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Madolyn Liebing, PH.D

Title

Owner

Phone

(435) 459-9222

Specialties & licenses 1

Addresses

Other names 1

• The Journey Doing business as

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1730581075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011547",
            "telephone_number": "435-459-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011547",
            "telephone_number": "435-459-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "LIEBING",
        "authorized_official_first_name": "MADOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-459-9222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "114581-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Journey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Provo, UT
• Providers in Provo, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.