Organization Active NPI

Lifespan Health Network

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1588073449
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIFESPAN HEALTH NETWORK
Practice address
1171 S Robertson Blvd
Suite 415
Los Angeles, CA 90035-1403
Phone
(310) 739-1167
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

1171 S Robertson Blvd
Suite 415
Los Angeles, CA 90035-1403

Mailing address

1171 S Robertson Blvd
Suite 415
Los Angeles, CA 90035-1403

Other identifiers 1

IdentifierTypeStateIssuer
507011OtherMHN

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": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1588073449",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD",
            "address_2": "SUITE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "310-739-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "AROM",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-739-1167",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "507011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.