Live Well Psychology Center, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LIVE WELL PSYCHOLOGY CENTER, LLC

Practice address

48 Woodport Rd
Suite 22
Sparta, NJ 07871

Phone

(973) 726-5200

NPI assigned

Jul 22, 2019

Last updated

Jun 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra Miller, PSY.D.NPI 1770773566

Title

Clinical Director, Owner

Phone

(973) 726-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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.

• Takako Komatsuzaki, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparta, NJ
  • NPI 1700373172
  Medicare reassignment Care Compare group NPD
• Heidi E Keller, PH.D.

  • Mental Health Counselor
  • Sparta, NJ
  • NPI 1801088356
  Medicare reassignment Care Compare group
• Alexandra Miller, PSY.D

  • Psychologist
  • Sparta, NJ
  • NPI 1770773566
  NPD Authorized official
• Brittany Anne Wool, LPC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1518330661
  NPD
• Hillary Grennan, LCSW

  • Clinical Social Worker
  • New Providence, NJ
  • NPI 1477982221
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1902459670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WOODPORT RD",
            "address_2": "SUITE 22",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-726-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WOODPORT RD",
            "address_2": "SUITE 22",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-726-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PSYCHOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "973-726-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Evan Lindy, M.D.
• Kathleen Oroho Linskey, PHARMD
• Joseph Anthony Liotta, MD
• Jennifer Litchfield, LAC
• Danielle Litrenta
• Kathy Kai Yee Lo, MD
• Anna Loconte
• Eric Loewrigkeit, D.C.
• Joseph Howard Lohner, D.D.S.
• Anthony Lombardo, LPC

• Psychologist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.