Lifespan and Wellness

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIFESPAN AND WELLNESS

Practice address

8121 Georgia Ave Ste 450
Silver Spring, MD 20910-4962

Phone

(301) 273-9917

Fax

(301) 273-9918

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lesley Sanders, PSYD

Title

President/Clinical Psychologist

Phone

(301) 367-4827

Specialties & licenses 1

Addresses

Other names 1

• Lifelong Wellness Doing business as

Locations

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1366047953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 450",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104962",
            "telephone_number": "301-273-9917",
            "fax_number": "301-273-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 450",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104962",
            "telephone_number": "301-273-9917",
            "fax_number": "301-273-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-367-4827",
        "authorized_official_name_prefix": "Dr.",
        "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": "Lifelong Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Chiropractic Clinics Inc.
• Life Chiropractic of Silver Spring
• Life Counseling Services LLC
• Life Is Simple, LLC
• Lifelong Wellness
• Giselle Hope Light
• Fnu Lilian Tsewole
• Erin Lillian, FNP-C
• Katharine Rechen Lillie, M.D.
• Margaret Lilly, L.AC.

• Clinical Psychologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.