LAKESHORE PSYCHOLOGICAL SERVICES, PLLC
NPI 1134852635
Clinic/Center - Adult Mental Health in Chicago, IL

NPI Status: Active since July 03, 2022

Contact Information

1 E ERIE ST STE 525
CHICAGO, IL
ZIP 60611
Phone: (312) 869-9887

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About LAKESHORE PSYCHOLOGICAL SERVICES, PLLC

This page provides the complete NPI Profile along with additional information for Lakeshore Psychological Services, Pllc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1134852635 assigned on July 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Leslie Rubin Phd (Clinical Psychologist)

NPI
1134852635
Provider Name
LAKESHORE PSYCHOLOGICAL SERVICES, PLLC
Entity Type
Organization
Location Address
1 E ERIE ST STE 525 CHICAGO, IL 60611
Location Phone
(312) 869-9887
Mailing Address
1 E ERIE ST STE 525-5270 CHICAGO, IL 60611
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2022
Last Update Date
07-03-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESLIE RUBIN PHD

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(312) 869-9887

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134852635
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164165466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 6 + 5 + 4 + 6 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1134852635 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669083002SEARCY PEDIATRIC AND ADOLESCENT BEHAVIORAL HEALTHCARE, LLC
Organization
Psychologist (Clinical Child & Adolescent)1 E ERIE ST STE 525
CHICAGO, IL 60611
(312) 471-3758
1356953004 BLAIR J HAYES RDN, LDN
Individual
Dietitian, Registered1 E ERIE ST STE 525
CHICAGO, IL 60611
(224) 357-6599
1720691280BRIGHTSIDE NUTRITION COUNSELING
Organization
Dietitian, Registered1 E ERIE ST STE 525
CHICAGO, IL 60611
(224) 357-6599
1598364200 SARAH HAIRSTON
Individual
Social Worker (Clinical)1 E ERIE ST STE 525
CHICAGO, IL 60611
(312) 775-2045
1518574433 DANYELL TAYLOR WHITE LCSW
Individual
Social Worker (Clinical)1 E ERIE ST STE 525
CHICAGO, IL 60611
(872) 221-4993
1164022349 CHRISTINA SANCHEZ
Individual
Counselor (Mental Health)1 E ERIE ST STE 525
CHICAGO, IL 60611
(312) 775-2045
1598430886AHEAD ILLINOIS MEDICAL SERVICE CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)1 E ERIE ST STE 525
CHICAGO, IL 60611
(855) 306-7786
1205507126MILES AHEAD PSYCHOLOGICAL SERVICES, PLLC
Organization
Psychologist (Clinical)1 E ERIE ST STE 525
CHICAGO, IL 60611
(708) 695-7119
1407502453 YARLESHA JOHNSON PHLEBOTOMIST
Individual
Pathology (Clinical Laboratory Director, Non-physician)1 E ERIE ST STE 525
CHICAGO, IL 60611
(847) 236-2219
1033842158 ERIN STAAB
Individual
Counselor (Mental Health)1 E ERIE ST STE 525 #413
CHICAGO, IL 60611
(773) 241-7464
1851981328DR. LESLIE F RUBIN PHD
Individual
Psychologist (Clinical)1 E ERIE ST STE 525
CHICAGO, IL 60611
(312) 869-9887
1205553021 SE YUN KIM LSW
Individual
Counselor (Mental Health)1 E ERIE ST STE 525 #413
CHICAGO, IL 60611
(773) 241-7464
1033990577DEBORAH ALTMAN, PLLC
Organization
Counselor (Mental Health)1 E ERIE ST STE 525
CHICAGO, IL 60611
(773) 234-2271

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134852635, enumerated in the NPI registry as an "organization" on July 03, 2022

The provider is located at 1 E Erie St Ste 525 Chicago, Il 60611 and the phone number is (312) 869-9887

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on July 03, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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