LAKESIDE SERENITY PSYCHIATRY, LLC – NPI #1366308785
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

LAKESIDE SERENITY PSYCHIATRY, LLC is a psychiatry & neurologist located in PORTLAND, OR. NPPES has assigned the NPI number 1366308785 to LAKESIDE SERENITY PSYCHIATRY, LLC on December 30, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

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 SERENITY PSYCHIATRY, LLC below.

NPI Profile for
LAKESIDE SERENITY PSYCHIATRY, LLC

NPI Number
1366308785
Enumeration Date

(about 5 months 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 SERENITY PSYCHIATRY, LLC
Primary location
5441 S.MACCADAN AVE 8160
PORTLAND, OR 97239
Phone: (917) 265-9614 Fax:
Mailing address
821 KENDRA DR
TEMPLE, TX 76502-5878
Phone: (917) 265-9611 Fax: (917) 265-9614
Organization Subpart
No
Authorized Official
DALLAS UPCHURCH
OWNER
Phone: (917) 265-9614
Updated
Certification Date
Dec 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2084P0800X
- Psychiatry & Neurology / Psychiatry (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.