V Covington, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

V COVINGTON, LLC

Doing business as

Lake Behavioral Hospital

Practice address

2615 Washington St
Waukegan, IL 60085-4980

Phone

(855) 990-1900

Fax

(847) 249-8747

NPI assigned

Apr 6, 2018

Last updated

Jun 10, 2021By 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

Richard Allen Kresch, M.D.

Title

Manager

Phone

(212) 243-5565

Specialties & licenses 1

Addresses

Other names 1

• LAKE BEHAVIORAL HOSPITAL Doing business as

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1497252449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854980",
            "telephone_number": "855-990-1900",
            "fax_number": "847-249-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854980",
            "telephone_number": "855-990-1900",
            "fax_number": "847-249-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V COVINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE BEHAVIORAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn M. Ulrich, CRNA
• Melissa Marguerite Urban, NP
• Rosa Margaret Uriostegui
• Erlinda P Uy
• V Covington, LLC (Lake Behavioral Hospital)
• Amaina Valencia, RN
• Stephanie Magen Valentin, BA
• Susan Vandenbos
• Kailyn Vandenbush
• Claudia Elisabeth Vankoningsveld, BS, CADC

• Psychiatry Physician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.