Ness Healthcare NFP

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

214 Issued in LA

Legal business name

NESS HEALTHCARE NFP

Doing business as

Northlake Behavioral Health System

Practice address

23515 Hwy 190
Mandeville, LA 70448

Phone

(847) 452-4585

Fax

(985) 626-6559

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tony Shir

Title

President

Phone

(847) 452-4565

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Northlake Behavioral Health System Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospital certification: CCN 194007

Legal name

NESS HEALTHCARE NFP

Doing business as

NORTHLAKE BEHAVIORAL HEALTH SYSTEM

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Mar 1, 1974

Last certification

May 20, 2024

Beds

140

Ownership / control type

Private (not for profit)

Most recent change of ownership

Nov 10, 2016 (2 total)

Organization structure

CorporationNon-profit

Incorporated

Jul 31, 2015 in IL

Enrollment address

23455 Sparrow Road
Mandeville, LA 70448
Other Hospital Practice Location

Hospital subgroups

Psychiatric

Listed as

Northlake Behavioral Health SystemCCN 194007 · All quality measures

Type

Psychiatric

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Michael L. Messing, MD

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1740219351

  Corporate Director

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Northlake Physicians Group

  dba The Ness Center

  • Psychiatry Physician
  • Mandeville, LA
  • NPI 1154855781
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik Hanson, MD

  • Psychiatry Physician
  • Metairie, LA
  • NPI 1043714884
  NPD
• Garrick Leonard Klaybor, M.D.

  • Psychiatry Physician
  • Fort Myers, FL
  • NPI 1588907273
  NPD (past)
• Graham L Spruiell, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Methuen, MA
  • NPI 1083683130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1043264351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23515 HWY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "847-452-4585",
            "fax_number": "985-626-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 HWY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "847-452-4585",
            "fax_number": "985-626-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESS HEALTHCARE NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SHIR",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-452-4565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "214",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700111",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northlake Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northlake Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Hospital in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Psychiatric Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.