Building Successful Lives LLC
NPI 1164987103ActiveOrganization· Psychologist, Clinical· Ocala, FL
Psychologist, Clinical in Ocala, Florida, registered in NPPES in February 2019. The authorized official on file is Jacqueline Anderson, PHD, Clinical Psychologist.
Overview
| NPI | 1164987103 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2019 |
| Last updated in NPPES | Oct 22, 2023 |
| Certified by provider | Oct 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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