LIFESPAN: A CENTER FOR FAMILY PSYCHOLOGICAL SERVICES INC.
NPI 1255096426
Psychologist - Clinical in Thousand Oaks, CA

Active since November 03, 2021
2801 TOWNSGATE RD STE 133, THOUSAND OAKS, CA 91361(805) 852-5039(818) 279-0585 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2022, Nov 3, 2021 (2 updates tracked since 2021).

About Lifespan: A Center For Family Psychological Services Inc. NPPES

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

LIFESPAN: A CENTER FOR FAMILY PSYCHOLOGICAL SERVICES INC. (NPI 1255096426), doing business as Family Psychological Associates Inc., is a healthcare organization registered as a clinical in Thousand Oaks, California and active in the NPI registry since November 2021. The organization lists Edmon Artinyan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255096426
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIFESPAN: A CENTER FOR FAMILY PSYCHOLOGICAL SERVICES INC.
Location Address2801 TOWNSGATE RD STE 133Thousand Oaks, CA 91361-5834
Mailing Address964 El Segundo DrThousand Oaks, CA 91362-2201
Fax(818) 279-0585
Organization SubpartNo
Authorized OfficialEdmon ArtinyanCfo · (805) 852-5039
Enumeration DateNovember 3, 2021
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1255096426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2801 TOWNSGATE RD STE 133, Thousand Oaks, CA 91361

Other Names 1

Former Legal Business NameFamily Psychological Associates Inc.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifespan: A Center For Family Psychological Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifespan: A Center For Family Psychological Services Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1578030953
1721 W YOSEMITE AVE
Manteca, CA 95337
(209) 825-3700
✔ PECOS✔ Accepts Medicare285 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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: A Center For Family Psychological Services Inc.'s NPI number?

The NPI number for Lifespan: A Center For Family Psychological Services Inc. is 1255096426. It was assigned to this organization in the NPPES registry on November 3, 2021. The provider was formerly known as Family Psychological Associates Inc..

Where is Lifespan: A Center For Family Psychological Services Inc. located?

Lifespan: A Center For Family Psychological Services Inc. is located at 2801 Townsgate Rd Ste 133, Thousand Oaks, CA 91361. The listed phone number is (805) 852-5039.

What is Lifespan: A Center For Family Psychological Services Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lifespan: A Center For Family Psychological Services Inc. enrolled in Medicare?

Yes. Lifespan: A Center For Family Psychological Services Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifespan: A Center For Family Psychological Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lifespan: A Center For Family Psychological Services Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifespan: A Center For Family Psychological Services Inc. was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.