Organization Active NPI

Lifespan Behavioral Health Services,LLC

  • Clinical Psychologist
  • Frankfort, IL
National Provider Identifier
1720263999
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LIFESPAN BEHAVIORAL HEALTH SERVICES,LLC
Practice address
21316 Brown Dr
Frankfort, IL 60423-9454
Phone
(815) 773-9503
Fax
(815) 469-4276
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. John Steven Scheffler, PSY.D.NPI 1144376641
Title
Owner
Phone
(815) 773-9503

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X IL Primary

Addresses

Primary practice location

21316 Brown Dr
Frankfort, IL 60423-9454

Mailing address

21316 Brown Dr
Frankfort, IL 60423-9454
Phone (815) 773-9503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000575 IL Part B Supplier - Clinic/Group Practice 9830270966 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, IL; Rock Falls, IL; Joliet, IL; Rochelle, IL; Orland Park, IL; North Aurora, IL; Aurora, IL; El Paso, IL…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1720263999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21316 BROWN DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239454",
            "telephone_number": "815-773-9503",
            "fax_number": "815-469-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21316 BROWN DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239454",
            "telephone_number": "815-773-9503",
            "fax_number": "815-469-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN BEHAVIORAL HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "SCHEFFLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-773-9503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.