Lakeside Behavioral Solutions

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LAKESIDE BEHAVIORAL SOLUTIONS

Practice address

5944 1/2 Hohman Ave
Hammond, IN 46320-2424

Phone

(219) 801-1789

Fax

(219) 354-0356

NPI assigned

Feb 8, 2012

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, LCSW//LCACNPI 1619229317

Title

Ceo

Phone

(219) 801-1789

Specialties & licenses 1

Addresses

Other identifiers 1

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

  • Community/Behavioral Health Agency
  • Hammond, IN
  • NPI 1407108079
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1699047456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804EAST 142STREET",
            "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": "463202424",
            "telephone_number": "219-801-1789",
            "fax_number": "219-354-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "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": "LCSW//LCAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY AND SOCIAL SERVICES ADMINISTRATION",
            "identifier": "1636-0-ASO",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Lee Warner Medical Interventions, LTD.

• Substance Abuse Rehabilitation Facility in Hammond, IN
• Providers in Hammond, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

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