Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifespan Behavioral Health PC

Organization Clinical Psychologist · NPI 1083299572

Lifespan Behavioral Health PC is a Clinical Psychologist in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2502 N Clark St Ste 212
Chicago, IL 60614-1850
Phone: (773) 930-9553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1083299572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Harings — Ceo · (773) 930-9553
NPI enumeratedMarch 16, 2021
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address2502 N Clark St Ste 212, Chicago, IL 60614-1850

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