OrganizationActive
Lifespan Psychology Services, LLC
NPI 1770844433 · Psychologist · Tampa, FL
Provider details
- NPI number
- 1770844433
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Athena Gordon, President(617) 784-0771
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4201 Bayshore Blvd
Unit 1603
Tampa, FL 33611-1669
Phone: (617) 784-0771
Street-level locationGet directions
Mailing address
4201 Bayshore Blvd
Tampa, FL 33611-1669
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2012-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.