LIFESPAN COLLABORATIVE SERVICES LLC
NPI 1013395466
Nurse Practitioner - Psychiatric/Mental Health in Oxford, CT

Q: What is Lifespan Collaborative Services LLC's NPI number?

The NPI number for Lifespan Collaborative Services LLC is 1013395466. It was assigned to this organization in the NPPES registry on May 18, 2015.

Q: What is Lifespan Collaborative Services LLC's specialty?

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

Active since May 18, 2015

71 OXFORD RD, OXFORD, CT 06478(203) 463-4558 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lifespan Collaborative Services Llc NPPES

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

LIFESPAN COLLABORATIVE SERVICES LLC (NPI 1013395466) is a healthcare organization registered as a psychiatric/mental health in Oxford, Connecticut and active in the NPI registry since May 2015. The organization lists Dilice Robertson, Member, as its authorized official.

NPPES Registry Identity

NPI1013395466

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLIFESPAN COLLABORATIVE SERVICES LLC

Location Address71 OXFORD RDOxford, CT 06478-1900

Mailing Address2390 State St, Unit 2eHamden, CT 06517-3716 · (203) 887-1278

Phone(203) 463-4558

Organization SubpartNo

Authorized OfficialDilice RobertsonMember · (203) 887-1278

Enumeration DateMay 18, 2015

✔ NPI 1013395466 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

License✔ Licensed in CT · 003973

71 OXFORD RD, Oxford, CT 06478

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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

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 Collaborative Services LLC's NPI number?

The NPI number for Lifespan Collaborative Services LLC is 1013395466. It was assigned to this organization in the NPPES registry on May 18, 2015.

Where is Lifespan Collaborative Services LLC located?

Lifespan Collaborative Services LLC is located at 71 Oxford Rd, Oxford, CT 06478. The listed phone number is (203) 463-4558.

What is Lifespan Collaborative Services LLC'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 Collaborative Services LLC was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.