LAKESIDE MENTAL HEALTH, PLLC
NPI 1619494168
Nurse Practitioner - Psychiatric/Mental Health in Lakeville, MA

Q: What is Lakeside Mental Health, PLLC's NPI number?

The NPI number for Lakeside Mental Health, PLLC is 1619494168. It was assigned to this organization in the NPPES registry on August 25, 2017.

Q: What is Lakeside Mental Health, PLLC's specialty?

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

Active since August 25, 2017

104 CHARLES ELDRIDGE DRIVE STE 1, LAKEVILLE, MA 02347(774) 213-9332 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lakeside Mental Health, Pllc NPPES

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

LAKESIDE MENTAL HEALTH, PLLC (NPI 1619494168) is a healthcare organization registered as a psychiatric/mental health in Lakeville, Massachusetts and active in the NPI registry since August 2017. The organization lists Emily-rose Montgomery Virden, Owner/ Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1619494168

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLAKESIDE MENTAL HEALTH, PLLC

Location Address104 CHARLES ELDRIDGE DRIVE STE 1Lakeville, MA 02347-1388

Mailing Address104 Charles Eldridge Drive Ste 1Lakeville, MA 02347

Phone(774) 213-9332

Organization SubpartNo

Authorized OfficialEmily-rose Montgomery VirdenOwner/ Nurse Practitioner · (774) 213-9332

Enumeration DateAugust 25, 2017

✔ NPI 1619494168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · 2992320

104 CHARLES ELDRIDGE DRIVE STE 1, Lakeville, MA 02347

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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 Anthem Blue Cross and Blue Shield.Insurance ›

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 Mental Health, PLLC's NPI number?

The NPI number for Lakeside Mental Health, PLLC is 1619494168. It was assigned to this organization in the NPPES registry on August 25, 2017.

Where is Lakeside Mental Health, PLLC located?

Lakeside Mental Health, PLLC is located at 104 Charles Eldridge Drive Ste 1, Lakeville, MA 02347. The listed phone number is (774) 213-9332.

What is Lakeside Mental Health, PLLC's specialty?

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

What insurance does Lakeside Mental Health, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lakeside Mental Health, PLLC 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 Mental Health, PLLC was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.