Active NPI
Lifespan Family Services
- Clinical Psychologist
- Brookfield, WI
National Provider Identifier
1992860035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1507
- Legal business name
- LIFESPAN FAMILY SERVICES
- Practice address
- 13035 W Bluemound Rd
Suite 100
Brookfield, WI 53005-8001 - Phone
- (262) 784-9777
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas S Lehmann
- Title
- Psychologist Owner
- Phone
- (262) 784-9777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1507 | WI | Primary |
Addresses
Primary practice location
13035 W Bluemound Rd
Suite 100
Brookfield, WI 53005-8001
Mailing address
13035 W Bluemound Rd
Suite 100
Brookfield, WI 53005-8001
Phone (262) 784-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42207900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1992860035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13035 W BLUEMOUND RD",
"address_2": "SUITE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530058001",
"telephone_number": "262-784-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13035 W BLUEMOUND RD",
"address_2": "SUITE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530058001",
"telephone_number": "262-784-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPAN FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "LEHMANN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
"authorized_official_telephone_number": "262-784-9777"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "1507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42207900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.