Lakeside Behavioral Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1636-0-ASO Issued in IN

Legal business name

LAKESIDE BEHAVIORAL SOLUTIONS

Practice address

5944 1/2 Hohman Ave.
Hammond, IN 46320

Phone

(219) 801-1789

Fax

(219) 354-0356

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By 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

Mr. Cleotis White, M.S.W.NPI 1619229317

Title

Ceo

Phone

(219) 801-1789

Specialties & licenses 1

Addresses

Tax ID family

Lakeside Behavioral Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeside Behavioral Solutions

  • Substance Abuse Rehabilitation Facility
  • Hammond, IN
  • NPI 1699047456
  NPD tax ID

Practitioners 1

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.

• Cleotis White, M.S.W., L.C.A.C.

  • Addiction (Substance Use Disorder) Counselor
  • Highland, IN
  • NPI 1619229317
  NPD (past) Authorized official

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1407108079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 E142 ST.",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123010",
            "telephone_number": "219-801-1789",
            "fax_number": "219-354-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 1/2 HOHMAN AVE.",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "46320",
            "telephone_number": "219-801-1789",
            "fax_number": "219-354-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CLEOTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-801-1789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "1636-0-ASO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Labcorp Oklahoma, Inc.
• Cesar Mikels Labitan Jr., MD
• Ladim Home Care Services Inc.
• Jacqueline Ann Lafave
• Lake Imaging, LLC
• Lakeside Behavioral Solutions
• Lamita Care Home Health LLC
• Chava Shifra Landau, CRNA
• Landmark Physical Therapy & Rehabilitation Center
• Jacob Latham, PHARMD

• Community/Behavioral Health Agency in Hammond, IN
• Providers in Hammond, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.