Lakeside Behavioral Health, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LAKESIDE BEHAVIORAL HEALTH, LLC

Practice address

4121 Union Rd Ste 201
Saint Louis, MO 63129-1070

Phone

(314) 930-3520

NPI assigned

Aug 8, 2016

Last updated

Oct 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ashok Yanamadala, M.DNPI 1558418301

Title

Psychiatrist

Phone

(314) 930-3520

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashok Yanamadala, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1558418301

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Edward Flynn

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1588088538
  Medicare reassignment Care Compare group NPD
• Tabitha Kennedy Sleeper, APRN,MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Peters, MO
  • NPI 1285596957

  IL

  Medicare reassignment NPD
• Vivek Yanamadala

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1477203974

  MO

  Medicare reassignment NPD
• Sheila Barnes, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1811195035
  NPD
• Zafar Khan, LPC

  • Professional Counselor
  • Wentzville, MO
  • NPI 1801420054
  NPD
• Tracey Kreipe, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • O'Fallon, IL
  • NPI 1952699811
  NPD

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1093269003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 UNION RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 UNION RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291070",
            "telephone_number": "314-930-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "852 Cambridge Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622694010",
            "country_code": "US",
            "telephone_number": "314-930-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Dearborn St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606543397",
            "country_code": "US",
            "telephone_number": "314-930-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKESIDE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "YANAMADALA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "314-930-3520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093269003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian McAllister Lake, DO
• Margaret Lake
• Michael Lake, CRNA
• Sandra Ann Lake, PT
• Priscilla Lakes, PHARMD
• Lakeside Center
• Abeba Lakew, LCSW
• Lakewell ABA LLC
• Christine M. Lakey, LCSW, CEAP
• Mithra Lakshmi Narasimhan, MD

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.