LAKE SHORE CENTER FOR PSYCHOLOGICAL SERVICES, P.C.
NPI 1467599779
Psychologist - Clinical in Waco, TX

Active since January 30, 2007
4555 LAKE SHORE DR, WACO, TX 76710(254) 776-0400(254) 776-0637 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Shore Center For Psychological Services, P.c. NPPES

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

LAKE SHORE CENTER FOR PSYCHOLOGICAL SERVICES, P.C. (NPI 1467599779) is a healthcare organization registered as a clinical in Waco, Texas and active in the NPI registry since January 2007. The organization lists Harold H Lecrone, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467599779
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAKE SHORE CENTER FOR PSYCHOLOGICAL SERVICES, P.C.
Location Address4555 LAKE SHORE DRWaco, TX 76710-1814
Mailing Address4555 Lake Shore DrWaco, TX 76710-1814 · (254) 776-0400 · Fax (254) 776-0637
Fax(254) 776-0637
Organization SubpartNo
Authorized OfficialHarold H LecroneExecutive Director · (254) 776-0400
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJanuary 5, 2011
NPI 1467599779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
4555 LAKE SHORE DR, Waco, TX 76710

Other Identifiers 1

OtherHH5047TX · Blue Cross Id Number

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 12

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

Psychologist
4555 LAKE SHORE DR
WACO, TX 76710
Clinic/Center (Mental Health (Including Community Mental Health Center))
4555 LAKE SHORE DR
WACO, TX 76710
Counselor (Professional)
4555 LAKE SHORE DR
WACO, TX 76710
Clinic/Center (Adult Mental Health)
4555 LAKE SHORE DR
WACO, TX 76710
Counselor (Professional)
4555 LAKE SHORE DR
WACO, TX 76710
Social Worker (Clinical)
4555 LAKE SHORE DR
WACO, TX 76710
Social Worker (Clinical)
4555 LAKE SHORE DR
WACO, TX 76710
Clinic/Center (Adult Mental Health)
4555 LAKE SHORE DR
WACO, TX 76710

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 Lake Shore Center For Psychological Services, P.C.'s NPI number?

The NPI number for Lake Shore Center For Psychological Services, P.C. is 1467599779. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Lake Shore Center For Psychological Services, P.C. located?

Lake Shore Center For Psychological Services, P.C. is located at 4555 Lake Shore Dr, Waco, TX 76710. The listed phone number is (254) 776-0400.

What is Lake Shore Center For Psychological Services, P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lake Shore Center For Psychological Services, P.C. was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.