Lifespan Psychological Health Cooperative

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LIFESPAN PSYCHOLOGICAL HEALTH COOPERATIVE

Practice address

13035 W Bluemound Rd Ste 100
Brookfield, WI 53005-8001

Phone

(262) 784-1121

Fax

(262) 784-9777

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By 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

Sarah Larson, LMFT

Title

Office Administration

Phone

(262) 223-3082

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1396491403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 W BLUEMOUND RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530058001",
            "telephone_number": "262-784-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 W BLUEMOUND RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530058001",
            "telephone_number": "262-784-1121",
            "fax_number": "262-784-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 W Sumner St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "WI",
            "postal_code": "530271421",
            "country_code": "US",
            "telephone_number": "262-223-6125",
            "fax_number": "262-784-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESPAN PSYCHOLOGICAL HEALTH COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATION",
        "authorized_official_telephone_number": "262-223-3082",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lifespan Family Services
• Lifetime OB/GYN, LTD.
• Laura Charlene Liguori, PH.D.
• Lily Hospice LLC
• Sandra Helen Linskens, RN
• Living Insight Supportive Services LLC

• Psychologist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.