LIFESPAN PSYCHOLOGICAL SERVICES (NPI# 1780217653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780217653 |
| Entity Type | Organization |
| Organization Name | LIFESPAN PSYCHOLOGICAL SERVICES |
| Practice Address |
1820 Preston Park Blvd Ste 2200 Plano TX 75093-3614 |
| Mailing Address |
8503 Marion Dr Frisco TX 75036-0504 |
| Practice Telephone | 4696047077 |
| Mailing Telephone | 4692353495 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-06-13 |
| Authorized Official Name | DR. KRISTEN BELLONI (LICENSE PSYCHOLOGIST) |
| Authorized Official Telephone | 4696047077 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285979328 | Lifespan Psychological Services | Psychologist | 5250 Cherokee Ave, Suite 411, Alexandria, VA 22312-2052 | 2012-11-30 |
| 1376705640 | Lifespan Psychological Services | Psychologist | 801 W Mills St, Siute B, Columbus, NC 28722-8494 | 2008-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Lifespan Psychological Services LLC | 2001 South Main Street, Suite 207, Blacksburg, Virginia 24060 |
| Street Address |
1820 PRESTON PARK BLVD STE 2200 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245388578 | Amy Renee Spindel | Social Worker | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2007-01-05 |
| 1184239170 | Change-well Pllc | Psychologist | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2020-09-15 |
| 1760002679 | Lory R Leblanc | Counselor | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2020-04-21 |
| 1891323952 | Couch Therapy Pllc | Counselor | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2020-04-01 |
| 1528694726 | Emily Morehead | Counselor | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2020-03-19 |
| 1477189603 | Monique Lee | Counselor | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2020-03-19 |
| 1134750300 | Laketra S Young-ariyo | Counselor | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2020-01-28 |
| 1427461300 | Kristen Cline Belloni | Psychologist | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447747209 | Scott Gornto | Psychologist | 6101 Chapel Hill Blvd Ste 200, Plano, TX 75093-8448 | 2018-04-17 |
| 1447688726 | Nicole Grandjean | Psychologist | 1400 Preston Rd Ste 130, Plano, TX 75093-5186 | 2013-10-23 |
| 1841531357 | David Michael Proost | Psychologist | 2801 Regal Rd Ste 106, Plano, TX 75075-6315 | 2013-03-07 |
| 1114281664 | Cynthia Jane Willmon | Psychologist | 5401 Independence Pkwy Apt 303, Plano, TX 75023-5434 | 2012-06-29 |
| 1861668246 | Fletcher & Associates Psychological Services, P.a. | Psychologist | 2301 Ohio Dr Ste 135, Plano, TX 75093-3992 | 2008-05-05 |
| 1306970090 | Dina T Hijazi | Psychologist | 2505 Links Dr, Plano, TX 75093-6332 | 2007-03-15 |
| 1811041783 | Krysla K Karlix | Psychologist | 520 E Central Parkway, Suite 107, Plano, TX 75074 | 2007-01-22 |
| 1821169996 | Laura O'dowd Martinez | Psychologist | 2921 Masters Cir, Plano, TX 75093-3405 | 2006-11-12 |
| 1639250343 | Mary Damkroger | Psychologist | 2800 N. Dallas Pkwy, Suite 220, Plano, TX 75093 | 2006-10-18 |
| 1609969161 | Steven W Sliwinski | Psychologist | 903 18th Street, Ste 117, Plano, TX 75074 | 2006-10-02 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.