Organization Active NPI

Lifespan Associates

  • Psychologist
  • Wyncote, PA
National Provider Identifier
1700146941
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005472L Issued in PA
Legal business name
LIFESPAN ASSOCIATES
Practice address
120 Greenwood Ave
Wyncote, PA 19095-1514
Phone
(215) 881-9000
Fax
(215) 881-7129
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Nancy B Schneider, PH.D.
Title
President
Phone
(215) 881-9000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PS005472L PA Primary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X B1-0000390 DE
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 0810004259 VA

Addresses

Primary practice location

120 Greenwood Ave
Wyncote, PA 19095-1514

Mailing address

120 Greenwood Ave
Wyncote, PA 19095-1514
Phone (215) 881-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1700146941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GREENWOOD AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951514",
            "telephone_number": "215-881-9000",
            "fax_number": "215-881-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GREENWOOD AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951514",
            "telephone_number": "215-881-9000",
            "fax_number": "215-881-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-881-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005472L",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0000390",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.