Lakeside Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071007686 Issued in IL

Legal business name

LAKESIDE PSYCHOLOGICAL SERVICES

Practice address

1110 W Lake Cook Rd
Suite 150
Buffalo Grove, IL 60089-1944

Phone

(847) 594-2880

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Julie Wiegel, PSYD

Title

President

Phone

(847) 594-2880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1396068433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD",
            "address_2": "SUITE 150",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD",
            "address_2": "SUITE 150",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891944",
            "telephone_number": "847-594-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "WIEGEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-594-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071007686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Kvaterman, PHYSICAL THERAPIST
• Myron Laban
• Brittany Lacursia
• Lake Cook Dental Center P C
• Lake County Acute Care, LLP
• Sabika Lakhani, OD
• Lang Home Medical Equipment Inc
• Carl R Lang, M.D.
• Bonnie Lapeire
• Samantha Lapinski, BCBA-1-21-55802

• Community/Behavioral Health Agency in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.