Lakes Psychiatric Center, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301066200 Issued in MI

Legal business name

LAKES PSYCHIATRIC CENTER, PLLC

Doing business as

LPCC, PLLC

Practice address

2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2184

Phone

(248) 859-2457

Fax

(248) 859-2473

NPI assigned

Nov 5, 2013

Last updated

Feb 8, 2015By 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

Dr. Lynne Lyons, MDNPI 1780644880

Title

Sole Owner

Phone

(248) 859-2457

Specialties & licenses 1

Addresses

Other names 1

• LPCC, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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.

• Lynne Lyons, MD

  • Psychiatry Physician
  • West Bloomfield, MI
  • NPI 1780644880
  Medicare reassignment NPD Authorized official
• Ginger Radd Blair, MSW

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1821181975
  Medicare reassignment NPD
• Susan Deutsch, M.S.W.

  • Clinical Social Worker
  • West Bloomfield, MI
  • NPI 1942271150
  Medicare reassignment NPD
• Carol Victoria Harrington, MSW, ACSW,LMSW

  • Clinical Social Worker
  • Novi, MI
  • NPI 1487791901
  Medicare reassignment NPD
• Josephine Marie Salem, L.M.S.W.

  • Clinical Social Worker
  • Novi, MI
  • NPI 1184638876
  Medicare reassignment NPD
• Linda Michelle Sherman, LMSW

  • Clinical Social Worker
  • Davisburg, MI
  • NPI 1235147307
  NPD

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423353600000",
    "number": "1740619121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-859-2457",
            "fax_number": "248-859-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-859-2457",
            "fax_number": "248-859-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES PSYCHIATRIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2015-02-08",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "248-859-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301066200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LPCC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexsandra Aquila Lachance, MSN, APRN, FNP-C
• Lada Medical
• Scott A Laker, MD
• Lakes Anesthesia, PLC
• Lakes Area Hospitalists,PC
• Lakes Urgent Care Inc
• Lakes Urgent Care, Inc.
• Gary Edward Lakind, D.O.
• Paige Lambert
• Christian Marshall Landefeld, PA-C

• Psychiatry Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.