LAKESIDE PSYCHOLOGICAL SERVICES, LLC – NPI #1568948776
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

LAKESIDE PSYCHOLOGICAL SERVICES, LLC is an AHC clinic located in GRAND JUNCTION, CO. NPPES has assigned the NPI number 1568948776 to LAKESIDE PSYCHOLOGICAL SERVICES, LLC on July 11, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 8 years ago on Jul 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE PSYCHOLOGICAL SERVICES, LLC below.

NPI Profile for
LAKESIDE PSYCHOLOGICAL SERVICES, LLC

NPI Number
1568948776
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE PSYCHOLOGICAL SERVICES, LLC
Primary location
3154 LAKESIDE DR APT 103
GRAND JUNCTION, CO 81506
Phone: (970) 462-7206 Fax: (970) 628-4207
Mailing address
915 LAKESIDE CT
GRAND JUNCTION, CO 81506-2815
Phone: Fax:
Organization Subpart
No
Authorized Official
ROGER MILLER
CLINICAL PSYCHOLOGIST
Phone: (970) 462-7206
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.