OrganizationActive
Lifespan Psychology, P.C.
NPI 1003205741 · Clinical Child & Adolescent Psychologist · Hamilton, GA
Provider details
- NPI number
- 1003205741
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Weis, Chairman(954) 260-0361
- License
- PSY003141 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
98 Voorhees Rd E
Hamilton, GA 31811-5671
Phone: (954) 260-0361
Street-level locationGet directions
Mailing address
98 Voorhees Rd E
Hamilton, GA 31811-5671
Registry dates
- Enumerated
- 2015-01-19
- Last updated
- 2015-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.