Lifespan Health Network, a Psychology Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION

Practice address

4929 Wilshire Blvd
Ste 510
Los Angeles, CA 90010-3808

Phone

(310) 734-5579

Fax

(310) 734-5511

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Israel Rubenstein, PH.D.

Title

Ceo

Phone

(310) 734-5579

Specialties & licenses 1

Addresses

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.

• Lifespan Health Network

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1588073449
  NPD tax ID
• Lifespan Health Network, a Psychology Corporation

  • Clinical Psychologist
  • Beverly Hills, CA
  • NPI 1154769917
  NPD tax ID

Locations

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1740531789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 WILSHIRE BLVD",
            "address_2": "STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103808",
            "telephone_number": "310-734-5579",
            "fax_number": "310-734-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 WILSHIRE BLVD",
            "address_2": "STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103808",
            "telephone_number": "310-734-5579",
            "fax_number": "310-734-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-734-5579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifebloom Marriage and Family Therapy Inc. (LifeBloom Therapy)
• Lifecare Hospice Inc
• Lifelong Help, Inc.
• Lifesigns Now (LIFESIGNS, Inc.)
• Lifespan Health Network
• Lifetime Wellness Center, Inc.
• Lifeway Healthcare Services Inc.
• Lisa Liff
• Brooke Erin Lifland
• Eric Lifshitz, M.D.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.