Organization Active NPI

Lifelong Wellness

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1962802256
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIFELONG WELLNESS
Practice address
8121 Georgia Ave Ste 450
Silver Spring, MD 20910-4962
Phone
(301) 367-4827
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Lesley Kathryn SandersNPI 1063500130
Title
President/Clinical Psychologist
Phone
(301) 367-4827

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

8121 Georgia Ave Ste 450
Silver Spring, MD 20910-4962

Mailing address

8121 Georgia Ave Ste 450
Silver Spring, MD 20910-4962

Other practice location 1

8403 Colesville Rd
Silver Spring, MD 20910-6331
Phone (973) 229-7020

National Provider Directory

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": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1962802256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 450",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 450",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104962",
            "telephone_number": "301-367-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8403 Colesville Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209106331",
            "country_code": "US",
            "telephone_number": "973-229-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELONG WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-367-4827"
    },
    "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 Silver Spring, MD

Sources for this page

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

Verify at the official NPI Registry.