LIFESPAN NP PSYCHIATRIC SERVICES, PC
NPI 1003629403
Nurse Practitioner - Psychiatric/Mental Health in Sherrill, NY

Active since January 29, 2025
60 E STATE ST STE 400, SHERRILL, NY 13461(315) 200-9723 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifespan Np Psychiatric Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPAN NP PSYCHIATRIC SERVICES, PC (NPI 1003629403) is a healthcare organization registered as a psychiatric/mental health in Sherrill, New York and active in the NPI registry since January 2025. The organization lists Kelly Dorman, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1003629403
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIFESPAN NP PSYCHIATRIC SERVICES, PC
Location Address60 E STATE ST STE 400Sherrill, NY 13461-1218
Mailing Address1021 Chapel StOneida, NY 13421-2837 · (315) 200-9723
Organization SubpartNo
Authorized OfficialKelly DormanOwner, President · (315) 200-9723
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1003629403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
60 E STATE ST STE 400, Sherrill, NY 13461

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
60 E STATE ST STE 400
SHERRILL, NY 13461
Social Worker (Clinical)
60 E STATE ST STE 400
SHERRILL, NY 13461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespan Np Psychiatric Services, PC's NPI number?

The NPI number for Lifespan Np Psychiatric Services, PC is 1003629403. It was assigned to this organization in the NPPES registry on January 29, 2025.

Where is Lifespan Np Psychiatric Services, PC located?

Lifespan Np Psychiatric Services, PC is located at 60 E State St Ste 400, Sherrill, NY 13461. The listed phone number is (315) 200-9723.

What is Lifespan Np Psychiatric Services, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lifespan Np Psychiatric Services, PC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.