NPIMap

Organization Active NPI

Lakeview Psychological Associates SC

  • Psychologist
  • Manitowoc, WI
National Provider Identifier
1831301464
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LAKEVIEW PSYCHOLOGICAL ASSOCIATES SC
Practice address
1020 Maritime Dr
Manitowoc, WI 54220-2922
Phone
(920) 769-0152
Fax
(920) 769-0153
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Gerelyn A Carducci, DO
Title
Psychiatrist Co Owner
Phone
(920) 769-0152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

1020 Maritime Dr
Manitowoc, WI 54220-2922

Mailing address

1020 Maritime Dr
Manitowoc, WI 54220-2922
Phone (920) 769-0152

National Provider Directory

National Provider Directory

Locations

1020 Maritime Dr
Manitowoc, WI 54220
Phone (920) 769-0152

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831301464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MARITIME DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202922",
            "telephone_number": "920-769-0152",
            "fax_number": "920-769-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MARITIME DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202922",
            "telephone_number": "920-769-0152",
            "fax_number": "920-769-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW PSYCHOLOGICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CARDUCCI",
        "authorized_official_first_name": "GERELYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST CO OWNER",
        "authorized_official_telephone_number": "920-769-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.