LAKES CONSULTATION GROUP – NPI #1881753564
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.

LAKES CONSULTATION GROUP is a psychiatry & neurologist located in SAINT LOUIS PARK, MN. NPPES has assigned the NPI number 1881753564 to LAKES CONSULTATION GROUP on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKES CONSULTATION GROUP” is a dba name, the actual legal business name for this organization is MEDICINE LAKE CONSULTATION GROUP,PLLC. With multiple taxonomy codes selected, 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

The NPI profile was previously updated about 11 years ago on Jan 23, 2015. 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 LAKES CONSULTATION GROUP below.

NPI Profile for
MEDICINE LAKE CONSULTATION GROUP,PLLC

NPI Number
1881753564
Enumeration Date

(more than 19 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
MEDICINE LAKE CONSULTATION GROUP,PLLC
Doing Business As (dba): LAKES CONSULTATION GROUP
Primary location
1155 FORD ROAD
UNIT B
SAINT LOUIS PARK, MN 55426
Phone: (952) 378-1800 Fax: (952) 378-1714
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANI RAM
OFFICE MANAGER
Phone: (952) 378-1800
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
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
2084P0800X
103TC0700X
- Psychologist / Clinical
MN 103TC0700X

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.