Ashok Yanamadala
LAKESIDE BEHAVIORAL HEALTH LLC


Address: 4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070
Phone: 3149303520

Ashok Yanamadala (NPI# 1558418301, PAC ID# 7214957349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1558418301
PAC ID by PECOS 7214957349
Professional Enrollment ID I20051202000717
Full Name Ashok Yanamadala
Organization Legal Name LAKESIDE BEHAVIORAL HEALTH LLC
Address 4121 Union Rd
Suite 201
Saint Louis
MO 63129-1070
Phone Number 3149303520
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty PSYCHIATRY
Group Practice PAC ID 9436439510
Number of Group Practice Members 2
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070 3149303520 LAKESIDE BEHAVIORAL HEALTH LLC
150 Saint Peters Centre Blvd, Suite B, Saint Peters, MO 63376-1653 3149303520 LAKESIDE BEHAVIORAL HEALTH LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name LAKESIDE BEHAVIORAL HEALTH LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Sheila Barnes Clinical Social Worker Lakeside Behavioral Health LLC 4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070

Office Location

Street Address 4121 UNION RD
SUITE 201
City SAINT LOUIS
State MO
Zip 63129-1070

Physicians in the same location

Name Specialty Organization Address
Sheila Barnes Clinical Social Worker Lakeside Behavioral Health LLC 4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070

Physicians in the same zip code

Name Specialty Organization Address
Laura Jo Flanigan Occupational Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Taylor Barker Occupational Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Matthew Gregory Williams Occupational Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Elizabeth M Miotti Physical Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Jaime M Mathieu Occupational Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Kathleen M Dahm Occupational Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Christina M Lyerla Certified Registered Nurse Anesthetist (crna) Washington University 5201 Mid America Plz, Suite 1300, Saint Louis, MO 63129-0002
Augustine R Hong Ophthalmology Washington University 5201 Mid America Plz, Suite 2500, Saint Louis, MO 63129-0002
Anna M Guimbarda Occupational Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Cory M Heslin Occupational Therapy Prorehab PC 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002
Find all physicians in zip 63129

Competitor

Search similar physicians

City SAINT LOUIS
Zip Code 63129
Specialty PSYCHIATRY
City + Specialty SAINT LOUIS + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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