Life Span Psychological Services PC
NPI 1912958356 · Clinical Psychologist · Willow Street, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Span Psychological Services PC is a Clinical Psychologist organization in Willow Street, PA (NPI 1912958356).
Provider details
- NPI number
- 1912958356
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lynnette Ruch, PHD(717) 464-1464
- License
- SW011339L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2025-09-11
Frequently asked questions
- What is Life Span Psychological Services PC's NPI number?
- Life Span Psychological Services PC's National Provider Identifier (NPI) is 1912958356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Span Psychological Services PC?
- Life Span Psychological Services PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Life Span Psychological Services PC located?
- Life Span Psychological Services PC's practice location on file with NPPES is 28190 Willow St Pk, Willow Street, PA 17584.
- What is Life Span Psychological Services PC's phone number?
- The practice phone number listed in the NPPES registry for Life Span Psychological Services PC is (717) 464-1464.
- Does Life Span Psychological Services PC accept Medicare?
- Life Span Psychological Services PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Span Psychological Services PC?
- The authorized official listed on Life Span Psychological Services PC's NPPES record is Lynnette Ruch, PHD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Span Psychological Services PC's NPI active?
- Yes — Life Span Psychological Services PC's NPI (1912958356) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.