NPIMap

Organization Active NPI

Lifespan Psychological Services

  • Psychologist
  • Alexandria, VA
National Provider Identifier
1285979328
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810003847 Issued in VA
Legal business name
LIFESPAN PSYCHOLOGICAL SERVICES
Practice address
5250 Cherokee Ave
Suite 411
Alexandria, VA 22312-2052
Phone
(703) 596-9476
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Christina Ralph, PH.D.NPI 1104879188
Title
Licensed Clinical Psychologist
Phone
(703) 596-9476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0810003847 VA Primary

Addresses

Primary practice location

5250 Cherokee Ave
Suite 411
Alexandria, VA 22312-2052

Mailing address

PO Box 9252
Reston, VA 20195-3152
Phone (703) 596-9476

National Provider Directory

National Provider Directory

Locations

5250 Cherokee Ave
Ste 411
Alexandria, VA 22312
Phone (703) 596-9476

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1285979328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9252",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201953152",
            "telephone_number": "703-596-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 CHEROKEE AVE",
            "address_2": "SUITE 411",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122052",
            "telephone_number": "703-596-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "RALPH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-596-9476",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.