Lifespan Psychology Services, LLC
NPI 1770844433ActiveOrganization· Psychologist· Tampa, FL
Psychologist in Tampa, Florida, registered in NPPES in May 2012. The authorized official on file is Athena Boolukos Gordon, ED.M., PSY.D., President.
Overview
| NPI | 1770844433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2012 |
| Last updated in NPPES | May 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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