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LAKESHORE PSYCHIATRY & WELLNESS
NPI 1093635682
Nurse Practitioner - Psychiatric/Mental Health in Gary, IN

Active since July 15, 2026
201 E 5TH AVE STE A, GARY, IN 46402(219) 791-3512(877) 349-7157 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 28, 2026, Jul 15, 2026 (2 updates tracked since 2026).

About Lakeshore Psychiatry & Wellness NPPES

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

LAKESHORE PSYCHIATRY & WELLNESS (NPI 1093635682) is a healthcare organization registered as a psychiatric/mental health in Gary, Indiana and active in the NPI registry since July 2026. The organization lists Channae Watkins, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1093635682
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAKESHORE PSYCHIATRY & WELLNESS
Location Address201 E 5TH AVE STE AGary, IN 46402-1300
Mailing Address201 E 5th Ave Ste AGary, IN 46402-1300 · (219) 791-3512 · Fax (877) 349-7157
Phone(219) 791-3512
Fax(877) 349-7157
Organization SubpartNo
Authorized OfficialChannae WatkinsPmhnp · (219) 791-3512
Enumeration DateJuly 15, 2026
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1093635682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
201 E 5TH AVE STE A, Gary, IN 46402
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NORTHWEST SURGICAL CENTER, INC.
Clinic/Center (Podiatric)
201 E 5TH AVE STE A
GARY, IN 46402
Lake County (219) 882-2000

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 Lakeshore Psychiatry & Wellness's NPI number?

The NPI number for Lakeshore Psychiatry & Wellness is 1093635682. It was assigned to this organization in the NPPES registry on July 15, 2026.

Where is Lakeshore Psychiatry & Wellness located?

Lakeshore Psychiatry & Wellness is located at 201 E 5th Ave Ste A, Gary, IN 46402. The listed phone number is (219) 791-3512.

What is Lakeshore Psychiatry & Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lakeshore Psychiatry & Wellness was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.