NPIMap

Organization Active NPI

Northlake Physicians Group

Doing business as The Ness Center

  • Psychiatry Physician
  • Mandeville, LA
National Provider Identifier
1154855781
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORTHLAKE PHYSICIANS GROUP
Doing business as
The Ness Center
Practice address
23699 Quail Lane
Mandeville, LA 70448-7334
Phone
(985) 334-4040
Fax
(985) 626-6549
NPI assigned
Apr 20, 2017
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NESS HEALTHCARE NFPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Mr. Tony Shir
Title
Officer
Phone
(847) 452-4565

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Substance Abuse Rehabilitation Facility 324500000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

23699 Quail Lane
Mandeville, LA 70448-7334

Mailing address

7300 N Cicero Ave
Suite 211
Lincolnwood, IL 60712-1641
Phone (224) 392-9889

Other practice location 1

23804 North Robin Rd.
mandeville, LA 70448
Phone (985) 334-4040

Other names 1

  • THE NESS CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170622000569 LA Part B Supplier - Clinic/Group Practice 9739457342 Receives reassigned benefits from 12 practitioners
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory
Part of
Ness Healthcare NFP

Locations

23699 Quail Ln
Mandeville, LA 70448
Phone (985) 334-4040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1154855781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 N CICERO AVE",
            "address_2": "SUITE 211",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121641",
            "telephone_number": "224-392-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23699 QUAIL LANE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487334",
            "telephone_number": "985-334-4040",
            "fax_number": "985-626-6549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23804 North Robin Rd.",
            "address_purpose": "LOCATION",
            "city": "mandeville",
            "state": "LA",
            "postal_code": "70448",
            "country_code": "US",
            "telephone_number": "985-334-4040",
            "fax_number": "985-626-6549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHLAKE PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NESS HEALTHCARE NFP",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "SHIR",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "847-452-4565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE NESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE NESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.