LIFESPAN PSYCHOLOGICAL HEALTH COOPERATIVE
NPI 1396491403
Psychologist in Brookfield, WI

Active since February 28, 2022
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005(262) 784-1121(262) 784-9777 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifespan Psychological Health Cooperative NPPES

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

LIFESPAN PSYCHOLOGICAL HEALTH COOPERATIVE (NPI 1396491403) is a healthcare organization registered as a psychologist in Brookfield, Wisconsin and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Hartford and lists Sarah Larson, Office Administration, as its authorized official.

NPPES Registry Identity

NPI1396491403
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLIFESPAN PSYCHOLOGICAL HEALTH COOPERATIVE
Location Address13035 W BLUEMOUND RD STE 100Brookfield, WI 53005-8001
Mailing Address13035 W Bluemound Rd Ste 100Brookfield, WI 53005-8001 · (262) 784-1121
Fax(262) 784-9777
Organization SubpartNo
Authorized OfficialSarah LarsonOffice Administration · (262) 223-3082
Enumeration DateFebruary 28, 2022
NPPES CertifiedFebruary 28, 2022
NPI 1396491403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
13035 W BLUEMOUND RD STE 100, Brookfield, WI 53005

Secondary Practice Location 1

Location 1384 W Sumner StHartford, WI 53027-1421 · Phone (262) 223-6125 · Fax (262) 784-9777

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Mental Health)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Student in an Organized Health Care Education/Training Program
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Student in an Organized Health Care Education/Training Program
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005

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 Psychological Health Cooperative's NPI number?

The NPI number for Lifespan Psychological Health Cooperative is 1396491403. It was assigned to this organization in the NPPES registry on February 28, 2022.

Where is Lifespan Psychological Health Cooperative located?

Lifespan Psychological Health Cooperative is located at 13035 W Bluemound Rd Ste 100, Brookfield, WI 53005. The listed phone number is (262) 784-1121.

What is Lifespan Psychological Health Cooperative's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Lifespan Psychological Health Cooperative was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.