Lifestyle Psychiatry and Wellness Center, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LIFESTYLE PSYCHIATRY AND WELLNESS CENTER, PLLC

Practice address

2255 Atkinson St
Detroit, MI 48206-2010

Phone

(646) 483-4469

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lindsay Rose Dykema, MD

Title

Founder

Phone

(646) 483-4469

Specialties & licenses 1

Addresses

Other names 2

• Uncaged Minds Detroit Doing business as
• Lifestyle Psychiatry and Wellness Center, PLLC Former legal business name

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1801407358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 ATKINSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062010",
            "telephone_number": "646-483-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 ATKINSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062010",
            "telephone_number": "646-483-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE PSYCHIATRY AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "DYKEMA",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "646-483-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uncaged Minds Detroit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifestyle Psychiatry and Wellness Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.