Lifespan Psychotherapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFESPAN PSYCHOTHERAPY

Doing business as

Lifespan Psychotherapy

Practice address

510 Hartbrook Dr Ste 204B
Hartland, WI 53029-1440

Phone

(126) 236-1427

Fax

(262) 313-0038

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Chris A Drosdick, MA NCC, CSAC, ATR-BCNPI 1528364825

Title

Psychotherapist

Phone

(262) 361-4275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifespan Psychotherapy Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Chris Ann Drosdick, PC, CSAC, ATR

  • Mental Health Counselor
  • Wauwatosa, WI
  • NPI 1528364825
  NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1841809878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HARTBROOK DR STE 204B",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291440",
            "telephone_number": "126-236-1427",
            "fax_number": "262-313-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HARTBROOK DR STE 204B",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291440",
            "telephone_number": "126-236-1427",
            "fax_number": "262-313-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "DROSDICK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-361-4275",
        "authorized_official_credential": "MA NCC, CSAC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528364825",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lifespanpsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "url address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "510 Hartbrook Dr Ste 204B",
            "city": "Hartland",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530291440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lifespan Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Lato, LPC-IT
• Legion Transit LLC
• Grant A Lemke, DDS
• Lending Hands Healthcare LLC
• John C Lesniak, M.D.
• Jonathan Romeo Lo, D.C.
• Kelly Jo Loesch, MT-BC, WMTR
• Benjamin Alan Luczak, D.C.
• Bridget Ann Lutz, B.A., R.N.
• Erin Lynn Malone, MS, CRC, LPC, SAC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hartland, WI
• Providers in Hartland, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.