Organization Active NPI

Lifespan Psychiatric Services LLC

Doing business as Lifespan Psychiatric & Internal Medicine Services

  • Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1659940377
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LIFESPAN PSYCHIATRIC SERVICES LLC
Doing business as
Lifespan Psychiatric & Internal Medicine Services
Practice address
3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Phone
(850) 999-2996
Fax
(850) 536-6439
NPI assigned
Jun 18, 2021
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Julianne Folsom, APRN, PMHNPNPI 1629691225
Title
Owner
Phone
(850) 566-9190

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU
Internal Medicine Physician 207R00000X NU
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277

Mailing address

3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Phone (850) 999-2996

Other names 1

  • Lifespan Psychiatric & Internal Medicine Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210920000186 FL Part B Supplier - Clinic/Group Practice 3971900929 Receives reassigned benefits from 6 practitioners
Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2320700Lifespan Psychiatric Services, LLC3606 Maclay Blvd S, Ste 102, Tallahassee, FL 32312Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

1614 Mahan Center Blvd
Ste 104
Tallahassee, FL 32308
Phone (850) 765-7292

1618 Mahan Center Blvd
Ste 103
Tallahassee, FL 32308
Phone (850) 999-2996

4012 Kelcey Ct
Ste 201
Tallahassee, FL 32308
Phone (850) 725-5563

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1659940377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-999-2996",
            "fax_number": "850-536-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-999-2996",
            "fax_number": "850-536-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-566-9190",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifespan Psychiatric & Internal Medicine Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifespan Psychiatric & Internal Medicine Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.