Lakeshore Psychiatry & Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LAKESHORE PSYCHIATRY & WELLNESS

Practice address

201 E 5TH Ave Ste a
Gary, IN 46402-1300

Phone

(219) 791-3512

Fax

(877) 349-7157

NPI assigned

Jul 15, 2026

Organization subpart

No

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

Authorized official

Name

Channae Watkins, NP

Title

Pmhnp

Phone

(219) 791-3512

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1093635682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 5TH AVE STE A",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021300",
            "telephone_number": "219-791-3512",
            "fax_number": "877-349-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 5TH AVE STE A",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021300",
            "telephone_number": "219-791-3512",
            "fax_number": "877-349-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE PSYCHIATRY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CHANNAE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "219-791-3512",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake County Hospitalists, LLC
• Lake County Walker Medical
• Lake Ridge Fire Protection District
• Lake Ridge Schools
• Lakeshore Community Outreach Incorporation
• Lashawn D Freeman DPM SC
• Mechelle Latiker
• Carlos A Laurie, MSMFT
• Oluseye Lawal
• Lawrence G. Ruffin

• Psychiatric/Mental Health Nurse Practitioner in Gary, IN
• Providers in Gary, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.