Lakeside Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LAKESIDE PSYCHIATRY PC

Practice address

5 Water St
Shrewsbury, MA 01545-4228

Phone

(919) 717-9673

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

George Stalcup, MDNPI 1184241937

Title

Owner/Authorized Official

Phone

(919) 717-9673

Specialties & licenses 2

Addresses

Practitioners 1

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

• George Stalcup, MD

  • Psychiatry Physician
  • Brighton, MA
  • NPI 1184241937
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1124859400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WATER ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454228",
            "telephone_number": "919-717-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WATER ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454228",
            "telephone_number": "919-717-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "STALCUP",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "919-717-9673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Philip Kuong, DO
• Hilary Kusz, PHARM.D.
• Tracy Ladd
• Lady Grace Stores, Inc.
• Julianne Lagosz
• Bradley Terry Lamberton, R.PH.
• Alissa T Lamoureux, DO
• Maryanne Lane, DPT
• Leigh Blythe Lanzoni, PHARMD
• Diana Rehnuma Lasker

• Psychiatry Physician in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.