Active NPI
Institute for Life Enrichment
- Clinical Psychologist
- College Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- INSTITUTE FOR LIFE ENRICHMENT
- Practice address
- 6201 Greenbelt Road
M7
College Park, MD 20740-0000 - Phone
- (301) 474-3750
- NPI assigned
- Mar 5, 2010
- 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
- Mr. James Edward Savage Jr., PH.D.
- Title
- President
- Phone
- (202) 291-2008
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Exclusive Provider Organization | 302F00000X |
Addresses
Primary practice location
6201 Greenbelt Road
M7
College Park, MD 20740-0000
Mailing address
7852 16TH Street NW
Washington, DC 20012-0000
Phone (202) 291-5008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 773211201 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Institute for Life Enrichment
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Baltimore, MD
- NPI 1730402637
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Washington, DC
- NPI 1629011515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582156800000",
"number": "1841513744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7852 16TH STREET NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200120000",
"telephone_number": "202-291-5008",
"fax_number": "202-291-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 GREENBELT ROAD",
"address_2": "M7",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207400000",
"telephone_number": "301-474-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE FOR LIFE ENRICHMENT",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-05",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A",
"authorized_official_last_name": "SAVAGE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-291-2008",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "773211201",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.