LAKELAND HOSPITAL ACQUISITION CORPORATION, LLC (NPI# 1225174311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225174311 |
| Entity Type | Organization |
| Organization Name | LAKELAND HOSPITAL ACQUISITION CORPORATION, LLC |
| Other Organization Name | LAKELAND BEHAVIORAL HEALTH SYSTEM |
| Practice Address |
440 S Market Ave Springfield MO 65806-2026 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 4178650566 |
| Practice Fax Number | 4178650566 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | MR. CHRISTOPHER HOWARD (EVP & GENERAL COUNSEL) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
R7E05 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
101693 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
101693 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 541287900 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeland Behavioral Health System | Doing Business As Name - Organization |
| Street Address |
440 S MARKET AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372601 | Mary Katherine Brinkman | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2005-11-09 |
| 1669093852 | Sara Shryack Wolf | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-04-29 |
| 1386271054 | Lakeland Hospital Acquisition, LLC | Psychiatric Hospital | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-03-24 |
| 1437612082 | Claudia Lizeth Moncada Maldonado | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2019-04-10 |
| 1275018335 | Heather M Freeman | Counselor | 440 S Market Ave, Springfield, MO 65806-2026 | 2018-09-25 |
| 1902308620 | Courtney Treat | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2018-03-08 |
| 1154714863 | Rebecca Granden | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2015-03-05 |
| 1912248949 | Sarah Marie Young | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2013-03-15 |
| 1013253186 | Elizabeth Marie Mendenhall | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2012-12-18 |
| 1780907337 | Matthew D. Weatherly | Counselor | 440 S Market Ave, Springfield, MO 65806-2026 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1700931433 | Purificacion Geronimo-flores | Psychiatry & Neurology | Mspcc, 235 Chestnut Street, Springfield, MA 01103 | 2007-01-24 |
| 1073607495 | Hayley Marks Cohen | Psychiatry & Neurology | 28 Millburn Avenue, Suite 3, Springfield, NJ 07081 | 2006-10-02 |
| 1679841381 | Rashi Govil | Psychiatry & Neurology | 417 Liberty St, Behavioral Health Network, Inc., Springfield, MA 01104-3736 | 2011-12-08 |
| 1174838452 | Nasir Iqbal Ahmad | Psychiatry & Neurology | 5220 S 6th Street Rd, Suite 1200, Springfield, IL 62703-5735 | 2010-08-11 |
| 1912138660 | Othman M Mohammad | Psychiatry & Neurology | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2009-07-29 |
| 1235382771 | David J Wood Md Frcpc,pc | Psychiatry & Neurology | 6551 Loisdale Ct, Suite 155, Springfield, VA 22150-1828 | 2008-10-28 |
| 1366638553 | Dennis Elroy Reynolds | Psychiatry & Neurology | 3995 Marcola Road, Springfield, OR 97477 | 2007-09-20 |
| 1790982668 | Zafar Abdur Rasheed | Psychiatry & Neurology | 8348 Traford Ln, 4th Floor, Springfield, VA 22152-1663 | 2007-07-02 |
| 1912053877 | Nathan P Somers | Psychiatry & Neurology | 3300 Main St, Springfield, MA 01107-1112 | 2007-01-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
Please comment or provide details below to improve the information on LAKELAND HOSPITAL ACQUISITION CORPORATION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.