LAKESHORE PSYCHOLOGICAL SERVICES PLLC NPI 1134852635

NPI Information

NPI: 1134852635
Provider Name: LAKESHORE PSYCHOLOGICAL SERVICES, PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1 E ERIE ST STE 525
CHICAGO, IL
ZIP 60611
Phone: (312) 869-9887
Get Directions

LAKESHORE PSYCHOLOGICAL SERVICES, PLLC is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LAKESHORE PSYCHOLOGICAL SERVICES, PLLC NPI is 1134852635. The provider is registered as an organization entity type.

The provider's business location address is:

1 E ERIE ST STE 525
CHICAGO, IL
ZIP 60611-980
Phone: (312) 869-9887

The provider's authorized official is Leslie Rubin .
The authorized official title is Clinical Psychologist and has the following contact phone number (312) 869-9887.

The enumeration date for this NPI number is 7/3/2022 and was last updated on 7/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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