Individual provider Active NPI

Lakeisha Hamilton, PHD

  • Psychologist
  • Darien, IL
National Provider Identifier
1043868110
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
7900 Cass Ave Ste 200
Darien, IL 60561-5073
Phone
(888) 428-7890
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

7900 Cass Ave Ste 200
Darien, IL 60561-5073

Mailing address

7900 Cass Ave Ste 200
Darien, IL 60561-5073
Phone (888) 428-7890

Other practice location 1

3310 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 250-7200

Other identifiers 1

IdentifierTypeStateIssuer
1043868110MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lakeisha1050m@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Psychologist CurrentSince Mar 30, 2025 Accepting new patients
Lifestance Health Psychologist CurrentSince Mar 30, 2025 Accepting new patients

Locations

7900 Cass Ave
Ste 200
Darien, IL 60561
Phone (630) 581-7134

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1043868110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 CASS AVE STE 200",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615073",
            "telephone_number": "888-428-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 CASS AVE STE 200",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615073",
            "telephone_number": "888-428-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Perimeter Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114123",
            "country_code": "US",
            "telephone_number": "615-250-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LAKEISHA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043868110",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lakeisha1050m@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7900 Cass Ave Ste 200",
            "city": "Darien",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605615073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.