Lake Aspen Professional Group PS

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MD00014780 Issued in WA

Legal business name

LAKE ASPEN PROFESSIONAL GROUP PS

Practice address

1460 N 16TH Ave
Suite G
Yakima, WA 98902-7102

Phone

(509) 575-7750

Fax

(509) 575-7796

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. George Vlahakis, M.D.

Title

President

Phone

(509) 575-7750

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1477822377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N 16TH AVE",
            "address_2": "SUITE G",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027102",
            "telephone_number": "509-575-7750",
            "fax_number": "509-575-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N 16TH AVE",
            "address_2": "SUITE G",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027102",
            "telephone_number": "509-575-7750",
            "fax_number": "509-575-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ASPEN PROFESSIONAL GROUP PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "VLAHAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-575-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "MD00014780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7237209",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penelope Lafond
• Brenda A Lago, LMP
• Jennifer Ann Lago, LMP
• Joseph Young Lai
• Lake Aspen Integrative Services
• Yvonne Christine Lakey
• Lally Chiropractic Clinic PS
• Scott A. Lally, D.C.
• Thomas P Lally, DC
• Donna Marie Lamarche

• Adult Mental Health Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.