Active NPI
Liv Luv Laff Mindfulness Services
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1770347403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LIV LUV LAFF MINDFULNESS SERVICES
- Practice address
- 701 E Cathedral Rd Ste 45
Philadelphia, PA 19128-2128 - Phone
- (813) 997-2099
- NPI assigned
- Feb 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Clukie
- Title
- Administrator
- Phone
- (813) 997-2099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
701 E Cathedral Rd Ste 45
Philadelphia, PA 19128-2128
Mailing address
701 E Cathedral Rd Ste 45
Philadelphia, PA 19128-2128
Phone (813) 997-2099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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": "1707782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1770347403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E CATHEDRAL RD STE 45",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282128",
"telephone_number": "813-997-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E CATHEDRAL RD STE 45",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282128",
"telephone_number": "813-997-2099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIV LUV LAFF MINDFULNESS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "CLUKIE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-997-2099"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.