Lifespan Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LIFESPAN PSYCHOLOGICAL SERVICES

Practice address

8668 John Hickman Pkwy Ste 1001
Frisco, TX 75034-9388

Phone

(469) 664-0070

Fax

(469) 217-3872

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Belloni, PH.D.NPI 1427461300

Title

License Psychologist

Phone

(469) 664-0070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 13

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

• Kristen Cline Belloni, PH.D., LP, LSSP

  • Psychologist
  • Frisco, TX
  • NPI 1427461300
  Medicare reassignment NPD Authorized official
• Yolanda Crosby, PH.D

  • Psychologist
  • Frisco, TX
  • NPI 1831798909
  Medicare reassignment NPD
• Emily Gale, PHD LP

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1316374390
  Medicare reassignment NPD
• Katie Runyon, PH.D

  • Psychologist
  • Frisco, TX
  • NPI 1841871134
  Medicare reassignment NPD
• Charlotta Richardson, PSYD

  • Psychologist
  • Frisco, TX
  • NPI 1801691738
  NPD
• Baylee Hux, M.S. LPC-A

  • Professional Counselor
  • Dallas, TX
  • NPI 1942921259
  NPD (past)
• Veronica Irvine, LPA

  • Psychologist
  • Dallas, TX
  • NPI 1548650070
  NPD (past)
• Lauren E Lappe, L.P.C

  • Professional Counselor
  • Katy, TX
  • NPI 1184053654
  NPD (past)
• Janease L. Traylor, MS, LPA

  • Psychologist
  • Mansfield, TX
  • NPI 1326540626
  NPD (past)
• Erin Bregetha Winsett

  • Professional Counselor
  • Southlake, TX
  • NPI 1174297667
  NPD (past)
• Amber Leblanc

  • Psychologist
  • Baton Rouge, LA
  • NPI 1508213299
  NPD (past)
• Toluwanimi Oduleye

  • Psychologist
  • Fountain Valley, CA
  • NPI 1982077715
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1780217653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 JOHN HICKMAN PKWY STE 1001",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349388",
            "telephone_number": "469-664-0070",
            "fax_number": "469-217-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8668 JOHN HICKMAN PKWY STE 1001",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349388",
            "telephone_number": "469-664-0070",
            "fax_number": "469-217-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "BELLONI",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "LICENSE PSYCHOLOGIST",
        "authorized_official_telephone_number": "469-664-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411534701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.