LIVE WELL PSYCHOLOGY GROUP, INC
NPI 1013755917
Psychologist - Health in Los Angeles, CA

Q: What is Live Well Psychology Group, Inc's NPI number?

The NPI number for Live Well Psychology Group, Inc is 1013755917. It was assigned to this organization in the NPPES registry on July 16, 2024.

Q: What is Live Well Psychology Group, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Active since July 16, 2024

11845 W OLYMPIC BLVD STE 1080W, LOS ANGELES, CA 90064(424) 453-8084 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Live Well Psychology Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE WELL PSYCHOLOGY GROUP, INC (NPI 1013755917) is a healthcare organization registered as a health in Los Angeles, California and active in the NPI registry since July 2024. The organization lists Alexia Holovatyk, President, as its authorized official.

NPPES Registry Identity

NPI1013755917

Entity TypeOrganization

Primary Taxonomy103TH0004X

Legal Business NameLIVE WELL PSYCHOLOGY GROUP, INC

Location Address11845 W OLYMPIC BLVD STE 1080WLos Angeles, CA 90064-5023

Mailing Address419 Hill St Apt 3Santa Monica, CA 90405-4284 · (330) 507-7441

Phone(424) 453-8084

Organization SubpartNo

Authorized OfficialAlexia HolovatykPresident · (424) 453-8089

Enumeration DateJuly 16, 2024

NPPES CertifiedJuly 16, 2024

✔ NPI 1013755917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers

Taxonomy Code103TH0004X

Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

11845 W OLYMPIC BLVD STE 1080W, Los Angeles, CA 90064

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Live Well Psychology Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Live Well Psychology Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexia Holovatyk, PHD

Clinical Psychologist

NPI 1174290969

11845 W OLYMPIC BLVD STE 1080W
Los Angeles, CA 90064

(424) 453-8089

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Live Well Psychology Group, Inc's NPI number?

The NPI number for Live Well Psychology Group, Inc is 1013755917. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Live Well Psychology Group, Inc located?

Live Well Psychology Group, Inc is located at 11845 W Olympic Blvd Ste 1080W, Los Angeles, CA 90064. The listed phone number is (424) 453-8084.

What is Live Well Psychology Group, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Live Well Psychology Group, Inc enrolled in Medicare?

Yes. Live Well Psychology Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Live Well Psychology Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Live Well Psychology Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Live Well Psychology Group, Inc was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.