| Lifespan Psychological Services | |
|
8668 John Hickman Pkwy Ste 1001 Frisco TX 75034-9388 | |
| (469) 664-0070 | |
| (469) 217-3872 |
| Full Name | Lifespan Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 8668 John Hickman Pkwy Ste 1001, Frisco, Texas |
| Authorized Official Name and Position | Kristen Belloni (LICENSE PSYCHOLOGIST) |
| Authorized Official Contact | 4696640070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Psychological Services 8668 John Hickman Pkwy Ste 1001 Frisco TX 75034-9388 Ph: (469) 664-0070 | Lifespan Psychological Services 8668 John Hickman Pkwy Ste 1001 Frisco TX 75034-9388 Ph: (469) 664-0070 |
| NPI Number | 1780217653 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/23/2024 |
| Medicare PECOS PAC ID | 5092146738 |
|---|---|
| Medicare Enrollment ID | O20200512003137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780217653 | NPI | - | NPPES |
| 411534701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kristen J Belloni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427461300 PECOS PAC ID: 5092032870 Enrollment ID: I20150317001067 |
| Provider Name | Emily Gale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316374390 PECOS PAC ID: 0244503696 Enrollment ID: I20190417001937 |
| Provider Name | Yolanda Crosby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831798909 PECOS PAC ID: 2567872740 Enrollment ID: I20201028002460 |
| Provider Name | Katie E Runyon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841871134 PECOS PAC ID: 2668848615 Enrollment ID: I20230123000025 |
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