Lakefront Psychology

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6103 Issued in OH

Legal business name

LAKEFRONT PSYCHOLOGY

Practice address

1991 Crocker Rd Ste 604
Westlake, OH 44145-6969

Phone

(216) 870-9816

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Jean Smith, PH.D.

Title

Clinical Psychologist/Owner

Phone

(216) 870-9816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1740790252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31729 TRADEWINDS DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122916",
            "telephone_number": "216-870-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 604",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456969",
            "telephone_number": "216-870-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "216-870-9816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "6103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Walton Laco, M.ED., BCBA, COBA
• Pauline Jan Lacy, MA CCC/SLP
• Golnaz Lahsaee, MD
• Lake Family Chiropractic LLC
• Lake Point Medical Group,LLC
• Lakeshore Speech Therapy, LLC
• Lakeside Therapy
• Lakewood Anesthesia Associates, Inc.
• Lakewood Hospital Professional Services
• Jessica Marie Lally, CNP

• Adult Mental Health Clinic/Center in Westlake, OH
• Providers in Westlake, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.