Healthcare Provider Details

I. General information

NPI: 1457901357
Provider Name (Legal Business Name): GOOD LIFE CENTER FOR MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 MORRIS TPKE STE 405
SHORT HILLS NJ
07078-2620
US

IV. Provider business mailing address

830 MORRIS TPKE STE 405
SHORT HILLS NJ
07078-2620
US

V. Phone/Fax

Practice location:
  • Phone: 908-956-7880
  • Fax: 908-956-7880
Mailing address:
  • Phone: 908-956-7880
  • Fax: 908-956-7880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG IRA SPRINGER
Title or Position: MANAGING PARTNER
Credential: PHD
Phone: 908-956-7979