LAKESIDE BEHAVIORAL SOLUTIONS (NPI# 1407108079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407108079 |
| Entity Type | Organization |
| Organization Name | LAKESIDE BEHAVIORAL SOLUTIONS |
| Practice Address |
5944 1/2 Hohman Ave. Hammond IN 46320 |
| Mailing Address |
1804 E142 St. East Chicago IN 46312-3010 |
| Practice Telephone | 2198011789 |
| Practice Fax Number | 2193540356 |
| Mailing Telephone | 2198011789 |
| Mailing Fax Number | 2193540356 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Authorized Official Name | MR. CLEOTIS WHITE (CEO) |
| Authorized Official Telephone | 2198011789 |
| Authorized Official Credential | M.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1636-0-ASO | IN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699047456 | Lakeside Behavioral Solutions | Substance Abuse Rehabilitation Facility | 5944 1/2 Hohman Ave, Hammond, IN 46320-2424 | 2012-02-08 |
| Street Address |
5944 1/2 HOHMAN AVE. |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| 1912384306 | William Register | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320 | 2015-05-05 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114376621 | Terrica Brown | Community/Behavioral Health | 20433 Lullabye Ln, Hammond, LA 70401-4104 | 2016-06-06 |
| 1689020489 | O&m Family Care, LLC | Community/Behavioral Health | 12561 Wardline Road, Hammond, LA 70401 | 2016-05-11 |
| 1942663117 | Choices Behavior Health and Wellness, LLC | Community/Behavioral Health | 406 W Morris Ave, Ste B, Hammond, LA 70403-4150 | 2016-04-04 |
| 1275957979 | Northlake Counseling and Consulting, LLC | Community/Behavioral Health | 902 C M Fagan Dr Ste B, Hammond, LA 70403-6043 | 2014-02-17 |
| 1215371398 | Merakey Pennsylvania | Community/Behavioral Health | 44617 S Airport Rd Ste C&d, Hammond, LA 70403-0311 | 2013-04-19 |
| 1740525831 | Inkreasing Ministry | Community/Behavioral Health | 24 Whitmar Dr, Hammond, LA 70401-1027 | 2012-11-30 |
| 1154607547 | Addiction and Family Care, Inc. | Community/Behavioral Health | 3440 169th St, Hammond, IN 46323-2542 | 2011-10-29 |
| 1962646547 | New Horizons Youth Service Bureau, Inc. | Community/Behavioral Health | 47257 River Rd, Hammond, LA 70401-3901 | 2009-04-27 |
| 1982848875 | Paradym Senior Life, LLC | Community/Behavioral Health | 11139 Fost Lane, Hammond, LA 70403 | 2009-04-23 |
| 1750530846 | Rgw Counseling LLC | Community/Behavioral Health | 3680 179th St, Suite F, Hammond, IN 46323-3033 | 2008-09-12 |
| Find all providers in HAMMOND | ||||
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| 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.