Lifenet Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1887-A Issued in TX

Legal business name

LIFENET SERVICES INC.

Practice address

9708 Skillman Street
Dallas, TX 75243-5150

Phone

(214) 221-5433

Fax

(214) 932-1977

NPI assigned

Nov 16, 2006

Last updated

Nov 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bob Robertson

Title

Cfo

Phone

(214) 221-5433

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LifeNet Community Behavioral Healthcare Former legal business name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gonzalo A Aillon, MD

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1124138946
  NPD (past)
• Stephen Webb Barksdale, M.D.

  • Psychiatry Physician
  • Arlington, TX
  • NPI 1649484965
  NPD (past)
• Martin Kram, M.D.

  • Psychiatry Physician
  • Grand Prairie, TX
  • NPI 1760493555
  NPD (past)
• Rita M. Moss, M.D.

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1689737116
  NPD (past)
• Gayatri J Singh, M.D.

  • Psychiatry Physician
  • McKinney, TX
  • NPI 1396880316
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1952474017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 SKILLMAN STREET",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435150",
            "telephone_number": "214-221-5433",
            "fax_number": "214-932-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 SKILLMAN STREET",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435150",
            "telephone_number": "214-221-5433",
            "fax_number": "214-932-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFENET SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-221-5433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "1887-A",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHSTAR VENDOR NUMBER",
            "identifier": "A099677",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284464901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeNet Community Behavioral Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Lifepointe Hospice Dallas Metroplex LLC
• Liferestore MD USA LLC (RestoreDOC MD)
• Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole MBR
• Lifespan Pharmacy Inc (Lifespan Pharmacy)
• Lifespan Resources of Texas, Inc.

• Community/Behavioral Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.