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LAKESIDE BEHAVIORAL HEALTH, LLC
NPI 1093269003
Psychiatry & Neurology - Psychiatry in Saint Louis, MO

Active since August 08, 2016
4121 UNION RD, SUITE 201, SAINT LOUIS, MO 63129(314) 930-3520 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2019, Mar 17, 2018, Feb 13, 2018 and 2 more (5 updates tracked since 2016).

About Lakeside Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE BEHAVIORAL HEALTH, LLC (NPI 1093269003) is a healthcare organization registered as a psychiatry in Saint Louis, Missouri and active in the NPI registry since August 2016. The organization maintains a secondary practice location in Saint Peters and lists Ashok Yanamadala, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1093269003
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLAKESIDE BEHAVIORAL HEALTH, LLC
Location Address4121 UNION RD, SUITE 201Saint Louis, MO 63129-1070
Mailing Address4121 Union Rd Ste 201Saint Louis, MO 63129-1070
Phone(314) 930-3520
Organization SubpartNo
Authorized OfficialAshok YanamadalaPsychiatrist · (314) 930-3520
Enumeration DateAugust 8, 2016
Last NPPES UpdateAugust 19, 20195 updates tracked since enumeration
✔ NPI 1093269003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4121 UNION RD, Saint Louis, MO 63129
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Secondary Practice Location 1

Location 1150 Saint Peters Centre Blvd, Suite BSaint Peters, MO 63376-1653 · Phone (314) 930-3520 · Fax (314) 930-3675

Other Identifiers 2

Medicaid1093269003MO
OtherMA6412MO · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES WILLIAM CLARKE D.D.S
Dentist (Endodontics)
4121 UNION RD, STE 215
SAINT LOUIS, MO 63129
St. Louis County (314) 894-5600
C. W. CLARKE DDS PC
Clinic/Center (Dental)
4121 UNION RD, STE 215
SAINT LOUIS, MO 63129
St. Louis County (314) 894-5600
MS. SHEILA BARNES LCSW
Social Worker (Clinical)
4121 UNION RD, SUITE 201
SAINT LOUIS, MO 63129
St. Louis County (314) 930-3520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Behavioral Health, LLC's NPI number?

The NPI number for Lakeside Behavioral Health, LLC is 1093269003. It was assigned to this organization in the NPPES registry on August 8, 2016.

Where is Lakeside Behavioral Health, LLC located?

Lakeside Behavioral Health, LLC is located at 4121 Union Rd Suite 201, Saint Louis, MO 63129. The listed phone number is (314) 930-3520.

What is Lakeside Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Lakeside Behavioral Health, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Lakeside Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Behavioral Health, LLC was last updated on August 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.