BUILDING SUCCESSFUL LIVES LLC
NPI 1164987103
Psychologist - Clinical in Ocala, FL

Active since February 04, 2019
2801 SW COLLEGE RD STE 3, OCALA, FL 34474(352) 804-2875(352) 390-3868 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 22, 2023, Feb 4, 2019 (2 updates tracked since 2019).

About Building Successful Lives Llc NPPES

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

BUILDING SUCCESSFUL LIVES LLC (NPI 1164987103) is a healthcare organization registered as a clinical in Ocala, Florida and active in the NPI registry since February 2019. The organization lists Jacqueline Anderson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1164987103
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBUILDING SUCCESSFUL LIVES LLC
Location Address2801 SW COLLEGE RD STE 3Ocala, FL 34474-4430
Mailing AddressPo Box 772345Ocala, FL 34477-2345
Fax(352) 390-3868
Organization SubpartNo
Authorized OfficialJacqueline AndersonClinical Psychologist · (352) 804-2875
Enumeration DateFebruary 4, 2019
Last NPPES UpdateOctober 22, 20232 updates tracked since enumeration
NPPES CertifiedOctober 22, 2023
NPI 1164987103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2801 SW COLLEGE RD STE 3, Ocala, FL 34474

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
2801 SW COLLEGE RD STE 3
OCALA, FL 34474
Psychologist (Clinical)
2801 SW COLLEGE RD STE 3
OCALA, FL 34474

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164987103, enumerated as an "organization" on February 04, 2019.

The provider is located at 2801 SW COLLEGE RD STE 3 OCALA, FL 34474 and the phone number is (352) 804-2875.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.