NPIMap

Organization Active NPI

Lighthouse Psychiatry PLLC

  • Psychiatry Physician
  • Springfield, MO
National Provider Identifier
1083596514
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LIGHTHOUSE PSYCHIATRY PLLC
Practice address
2135 E Independence St # 1196
Springfield, MO 65804-3749
Phone
(918) 850-9488
NPI assigned
Jul 24, 2025
Organization subpart
Yes
Parent organization
LIGHTHOUSE PSYCHIATRY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Dayana ArteagaNPI 1881048593
Title
Owner
Phone
(918) 850-9488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2135 E Independence St # 1196
Springfield, MO 65804-3749

Mailing address

4006 S Lone Pine Ave Unit 104
Springfield, MO 65804-6876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918002436 MO Part B Supplier - Clinic/Group Practice 0345615142 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Psychiatry3 organizations share this tax ID, including this one
Part of
Lighthouse Psychiatry

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1083596514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 S LONE PINE AVE UNIT 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 E INDEPENDENCE ST # 1196",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043749",
            "telephone_number": "918-850-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PSYCHIATRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE PSYCHIATRY PLLC",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "ARTEAGA",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-850-9488"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.