NPIMap

Organization Active NPI

Lifespan Psychiatric Services, LLC

Doing business as Lifespan Psychiatric and Internal Medicine Services

  • Internal Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1679317127
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIFESPAN PSYCHIATRIC SERVICES, LLC
Doing business as
Lifespan Psychiatric and Internal Medicine Services
Practice address
1618 Mahan Center Blvd Ste 103
Tallahassee, FL 32308-5476
Phone
(850) 999-2996
Fax
(833) 450-4861
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFESPAN PSYCHIATRIC SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Julianne Kay Folsom, APRNNPI 1629691225
Title
Owner
Phone
(850) 999-2996

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1618 Mahan Center Blvd Ste 103
Tallahassee, FL 32308-5476

Mailing address

1618 Mahan Center Blvd Ste 103
Tallahassee, FL 32308-5476
Phone (850) 999-2996

Other names 1

  • Lifespan Psychiatric and Internal Medicine Services Doing business as

National Provider Directory

National Provider Directory
Part of
Lifespan Psychiatric Services LLC

Locations

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1679317127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MAHAN CENTER BLVD STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085476",
            "telephone_number": "850-999-2996",
            "fax_number": "833-450-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 MAHAN CENTER BLVD STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085476",
            "telephone_number": "850-999-2996",
            "fax_number": "833-450-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPAN PSYCHIATRIC SERVICES, LLC",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-999-2996",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifespan Psychiatric and 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 Jun 20, 2024; 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.