Lifespan: a Center for Family Psychological Services Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIFESPAN: A CENTER FOR FAMILY PSYCHOLOGICAL SERVICES INC.

Practice address

2801 Townsgate Rd Ste 133
Thousand Oaks, CA 91361-5834

Phone

(805) 852-5039

Fax

(818) 279-0585

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Edmon Artinyan, PSYDNPI 1578030953

Title

Cfo

Phone

(805) 852-5039

Specialties & licenses 1

Addresses

Other names 1

• FAMILY PSYCHOLOGICAL ASSOCIATES INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmon Artinyan

  • Health Psychologist
  • Manteca, CA
  • NPI 1578030953
  Medicare reassignment NPD Authorized official
• Beatrix Wagner, PSY.D.

  • Psychologist
  • Fort Worth, TX
  • NPI 1639358385
  NPD
• Xochitl Roman-Canales

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1417431511
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1255096426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 EL SEGUNDO DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 TOWNSGATE RD STE 133",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615834",
            "telephone_number": "805-852-5039",
            "fax_number": "818-279-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN: A CENTER FOR FAMILY PSYCHOLOGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-12-07",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "ARTINYAN",
        "authorized_official_first_name": "EDMON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-852-5039",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PSYCHOLOGICAL ASSOCIATES INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "FAMILY PSYCHOLOGICAL ASSOCIATES INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Philip Lynn Lichtenberger, BCBA
• Brynn Lieberman
• Dana E Lieberman
• Liem Le-Chau M D Inc a Medical Corporation
• Lifeforce Family Wellness Center, Inc.
• Scott Lifschitz, D.C
• Amber Rose Ligason-Tiquia, DO
• Jiin Lim, DDS
• Limitless Health Chiropractic, Dr. Hibbard, DC, Inc.
• James T. Lin, M.D.

• Clinical Psychologist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.