Lakeview Medical & Psychiatric Healthcare LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LAKEVIEW MEDICAL & PSYCHIATRIC HEALTHCARE LLC

Practice address

1601 West Jackson Street
Suite 104
Macomb, IL 61455

Phone

(309) 575-3222

Fax

(309) 404-8000

NPI assigned

May 11, 2016

Last updated

Nov 6, 2018By 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

Michael Paul Bednarz, MDNPI 1184661407

Title

Owner

Phone

(773) 485-3222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Michael Paul Bednarz, MD

  • Psychiatry Physician
  • Macomb, IL
  • NPI 1184661407
  Medicare reassignment NPD Authorized official
• Ashley M Martin, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Colchester, IL
  • NPI 1235534066
  Medicare reassignment
• Madeline Bickhaus, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Macomb, IL
  • NPI 1083308084
  NPD
• Christie S Reynolds, LCPC

  • Professional Counselor
  • Macomb, IL
  • NPI 1891431581

  Single Specialty

  NPD
• Gerald L Carreon, LMFT

  • Marriage & Family Therapist
  • Macomb, IL
  • NPI 1295086734
  NPD (past)
• Kristen Jean Draughan, LCSW

  • Clinical Social Worker
  • Macomb, IL
  • NPI 1427423474
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1942656749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WEST JACKSON STREET",
            "address_2": "SUITE 104",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-575-3222",
            "fax_number": "309-404-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WEST JACKSON STREET",
            "address_2": "SUITE 104",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-575-3222",
            "fax_number": "309-404-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEDICAL & PSYCHIATRIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "BEDNARZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-485-3222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne J Kubasak, MS, LCPC
• Irving Kwong
• Kyte River Emergency Physicians PLLC
• Jessica Laber, A.T.C./L
• Kimberley S Laird, LCPC
• Lamoine Valley Clinic, S. C.
• Andrea B. Lawrence, APRN
• Kathy E Lee, MSED, LCPC, CADC,
• Brooke Julianna Levister, PHARM. D.
• Xiaolu (Sherry) Li, M.D.

• Psychiatry Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.