Lakeshore Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LAKESHORE PSYCHIATRY PLLC

Practice address

6117 N Winthrop Ave Apt 3N
Chicago, IL 60660-2773

Phone

(224) 509-9351

Fax

(773) 825-8338

NPI assigned

Jun 18, 2026

Last updated

Jun 18, 2026By 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

Chad Carson, APRN, PMHNP-BCNPI 1538901368

Title

Owner

Phone

(224) 509-9351

Specialties & licenses 1

Addresses

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.

• Chad Carson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kansas City, KS
  • NPI 1538901368
  Authorized official Same address or phone

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1659207694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE N",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "224-509-9351",
            "fax_number": "773-825-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 N WINTHROP AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602773",
            "telephone_number": "224-509-9351",
            "fax_number": "773-825-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-509-9351",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Opco LLC (Aperion Care Lakeshore)
• Lakeshore Opco LLC (Aperion Care Lakeshore)
• Lakeshore Ophthalmology PLLC
• Lakeshore Ophthalmology, PLLC
• Lakeshore Premium Healthcare, Inc
• Lakeshore Psychological Services, PLLC
• Lakeshore Pulmonary Associates, LLC
• Lakeshore Senior Services LLC
• Lakeshore Speech, LLC
• Lakeshore Surgery Center

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.