Lifespan Psychiatric Care

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9294269 Issued in FL

Legal business name

LIFESPAN PSYCHIATRIC CARE

Practice address

4800 Linton Blvd Ste D502A
Delray Beach, FL 33445-6593

Phone

(561) 808-7205

Fax

(561) 584-6804

NPI assigned

Aug 23, 2017

Last updated

Aug 23, 2017By 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

Nicholas J Jackson, PMHNP-BC, ARNPNPI 1750828554

Title

Owner

Phone

(561) 307-7745

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Nicholas Jeffrey Jackson, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1750828554
  NPD Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1952828790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S OLIVE AVE APT 407",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016195",
            "telephone_number": "561-307-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE D502A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456593",
            "telephone_number": "561-808-7205",
            "fax_number": "561-584-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PSYCHIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-307-7745",
        "authorized_official_credential": "PMHNP-BC, ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9294269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lifestyles College of Development
• Lifestyles College of Development
• Michele Hobbi Lifland, LCSW
• Deborah Zipporah Lifschitz, LMSW, MED
• Light of the World Rehabilitation & Recovery Services LLC (Light of the World Counseling)

• Psychiatric/Mental Health Nurse Practitioner in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.