Lifespan Behavioral Health P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIFESPAN BEHAVIORAL HEALTH P.C.

Practice address

2502 N Clark St Ste 212
Chicago, IL 60614-1850

Phone

(773) 930-9553

NPI assigned

Mar 16, 2021

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Harings, PSY.D.NPI 1679158430

Title

Ceo

Phone

(773) 930-9553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Harings, PSYD, MSCP

  • Clinical Child & Adolescent Psychologist
  • Chicago, IL
  • NPI 1679158430
  Medicare reassignment NPD Authorized official
• Aila M Amil, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1700493848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1083299572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N CLARK ST STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141850",
            "telephone_number": "773-930-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N CLARK ST STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141850",
            "telephone_number": "773-930-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN BEHAVIORAL HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "HARINGS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-930-9553",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifesaver Healthcare, LLC
• Lifesaver Intervention Center Inc
• Lifescan Chicago LLC
• Lifescan Labs of Illinois, LLC
• Lifescore Foundation
• Lifespan Neurodevelopmental Consultants
• Lifesport Physical Therapy PC
• Lifestart National Fitness
• Lifestyle Chiropractic PC
• Lifestyle Physical Therapy & Balance Center, PLLC (LifeStyle Physical Therapy & Balance Center, LLC)

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.