LIFESPAN PSYCHIATRIC SERVICES, LLC
NPI 1679317127
Internal Medicine in Tallahassee, FL

Active since June 20, 2024CLIA 10D2320700 · Waiver
1618 MAHAN CENTER BLVD STE 103, TALLAHASSEE, FL 32308(850) 999-2996(833) 450-4861 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Lifespan Psychiatric Services, Llc NPPES

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

LIFESPAN PSYCHIATRIC SERVICES, LLC (NPI 1679317127), doing business as Lifespan Psychiatric And Internal Medicine Services, is a healthcare organization registered as an internal medicine in Tallahassee, Florida and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Julianne Kay Folsom, Owner, as its authorized official.

NPPES Registry Identity

NPI1679317127
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFESPAN PSYCHIATRIC SERVICES, LLC
Location Address1618 MAHAN CENTER BLVD STE 103Tallahassee, FL 32308-5476
Mailing Address1618 Mahan Center Blvd Ste 103Tallahassee, FL 32308-5476 · (850) 999-2996 · Fax (833) 450-4861
Fax(833) 450-4861
Organization SubpartYes
Authorized OfficialJulianne Kay FolsomOwner · (850) 999-2996
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
NPI 1679317127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1618 MAHAN CENTER BLVD STE 103, Tallahassee, FL 32308

Other Names 1

Doing Business AsLifespan Psychiatric And Internal Medicine Services

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2320700

Lifespan Psychiatric Services, LLC · Tallahassee, FL
Active · expires Mar 23, 2027
CLIA Number10D2320700
Laboratory TypePractitioner Other
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorJulianne K. Folsom
Laboratory Phone(850) 999-2996
Laboratory LocationLifespan Psychiatric Services, LLC3606 Maclay Blvd S, Ste 102, Tallahassee, FL 32312
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
1618 MAHAN CENTER BLVD STE 103
TALLAHASSEE, FL 32308

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 Psychiatric Services, LLC's NPI number?

The NPI number for Lifespan Psychiatric Services, LLC is 1679317127. It was assigned to this organization in the NPPES registry on June 20, 2024. The provider is doing business as Lifespan Psychiatric and Internal Medicine Services.

Where is Lifespan Psychiatric Services, LLC located?

Lifespan Psychiatric Services, LLC is located at 1618 Mahan Center Blvd Ste 103, Tallahassee, FL 32308. The listed phone number is (850) 999-2996.

What is Lifespan Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lifespan Psychiatric Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2320700) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifespan Psychiatric Services, LLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.