LAKESIDE PROFESSIONAL BILLING (NPI# 1659794519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659794519 |
| Entity Type | Organization |
| Organization Name | LAKESIDE PROFESSIONAL BILLING |
| Practice Address |
2911 Brunswick Rd Memphis TN 38133-4105 |
| Practice Telephone | 9013774700 |
| Mailing Telephone | 9013774700 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | STEVE FILTON (SR VP CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
2911 BRUNSWICK RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38133-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485866 | Paul David Clein | Psychiatry & Neurology | 2911 Brunswick Rd, Lakeside Hospital, Memphis, TN 38133 | 2005-05-23 |
| 1609416122 | Catherine Trapp Houpt | Social Worker | 2911 Brunswick Rd, Memphis, TN 38133-4105 | 2020-01-13 |
| 1184127276 | Markeshe Ellison | Nurse Practitioner | 2911 Brunswick Rd, Memphis, TN 38133 | 2018-03-14 |
| 1780942854 | Timothy Jay Bilbruck | Psychiatry & Neurology | 2911 Brunswick Rd, Memphis, TN 38133-4105 | 2012-04-26 |
| 1417153891 | Kara Gross | Social Worker | 2911 Brunswick Rd, Memphis, TN 38133-4105 | 2007-06-22 |
| 1134255318 | Dana W Thornton | Pharmacist | 2911 Brunswick Rd, Memphis, TN 38133-4105 | 2007-02-24 |
| 1841373206 | Evelyn S Stiles | Nurse Practitioner | 2911 Brunswick Rd, Memphis, TN 38136-0001 | 2006-10-21 |
| 1346257821 | Charles Hal Brunt | Psychiatry & Neurology | 2911 Brunswick Rd, Memphis, TN 38133 | 2006-08-01 |
| 1316987639 | Christopher Luke White | General Practice | 2911 Brunswick Rd, Memphis, TN 38133-4105 | 2006-06-07 |
| 1083687651 | Uhs of Lakeside LLC | Psychiatric Hospital | 2911 Brunswick Rd, Memphis, TN 38133-4105 | 2006-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916839 | Deborah Elaine Renard | Psychologist | 1834 Dearing Rd, Memphis, TN 38117-7408 | 2020-03-09 |
| 1598314007 | Christina Mae Martinez | Psychologist | 3415 Valley Park Cv, Memphis, TN 38115-4325 | 2019-09-06 |
| 1386178044 | Cherokee Health Systems | Psychologist | 2547 Frayser Blvd, Memphis, TN 38127-5829 | 2017-04-19 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1225448376 | Alison Gregg Dowd | Psychologist | 1030 Jefferson Ave # 116a4, Memphis, TN 38104-2127 | 2014-04-29 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1275830648 | Katherine Ruth Hiestand | Psychologist | 1722 Tutwiler Ave, Memphis, TN 38107-4538 | 2011-02-22 |
| 1316249956 | Trisha Marie Nash | Psychologist | 2064 Young Ave, Memphis, TN 38104-5653 | 2010-12-02 |
| 1245560978 | Jasmine Brooke Bradley | Psychologist | 1418 E Crestwood Dr, Memphis, TN 38119-6002 | 2009-12-31 |
| 1144557588 | William B Little Jr. | Psychologist | 5349 Estate Office Dr Ste 3, Memphis, TN 38119 | 2009-11-05 |
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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.