Organization Active NPI

Lifespan Health Network, a Psychology Corporation

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1154769917
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION
Practice address
9171 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5530
Phone
(310) 248-4949
Fax
(310) 248-4832
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Marion Arom, PH.D.
Title
Officer
Phone
(310) 739-1167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9171 Wilshire Blvd
Suite 600
Beverly Hills, CA 90210-5530

Mailing address

1171 S Robertson Blvd
Suite 415
Los Angeles, CA 90035-1403
Phone (310) 248-4949

National Provider Directory

National Provider Directory
Tax ID family
Lifespan Health Network a Psychology Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1154769917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD",
            "address_2": "SUITE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "310-248-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD",
            "address_2": "SUITE 600",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105530",
            "telephone_number": "310-248-4949",
            "fax_number": "310-248-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "AROM",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "310-739-1167",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.