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LAKESIDE LIFE CENTER
NPI 1700901022
Psychiatry & Neurology - Psychiatry in Lewisville, TX

Active since March 20, 2007CLIA 45D2069225 · Waiver
560 W MAIN ST, STE. 101, LEWISVILLE, TX 75057(972) 221-1741(972) 219-0057 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Life Center NPPES

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

LAKESIDE LIFE CENTER (NPI 1700901022) is a healthcare organization registered as a psychiatry in Lewisville, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Debbie K. Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700901022
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNISHENDU M. VASAVADA, M.D., P.A.
Location Address560 W MAIN ST, STE. 101Lewisville, TX 75057-3629
Mailing Address560 W Main St, Ste. 101Lewisville, TX 75057-3629 · (972) 221-1741 · Fax (972) 219-0057
Phone(972) 221-1741
Fax(972) 219-0057
Organization SubpartNo
Authorized OfficialDebbie K. JohnsonOffice Manager · (972) 221-1741
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 3, 2011
✔ NPI 1700901022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · F2490
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.
560 W MAIN ST, Lewisville, TX 75057
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Other Names 1

Doing Business AsLakeside Life Center

Other Identifiers 4

Medicaid200105540AOK
Medicare PINTXB113677TX
Other0072MWTX · Blue Cross Blue Shield
Medicaid220087501TX

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2069225

Lakeside Life Center · Carrollton, TX
Active · expires Nov 19, 2027
CLIA Number45D2069225
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorNishendu Vasavada
Laboratory Phone(972) 221-1741
Laboratory LocationLakeside Life Center4100 Fairway Drive, Suite 200, Carrollton, TX 75010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

BARRY SANDERS M.D. AND ASSOCIATESS
Internal Medicine (Gastroenterology)
560 W MAIN ST, SUITE 106
LEWISVILLE, TX 75057
Denton County (972) 420-8800
TIMOTHY C PRINGLE MD PA
Surgery (Vascular Surgery)
560 W MAIN ST, SUITE 200
LEWISVILLE, TX 75057
Denton County (972) 906-0011
TAE YOUNG LEE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
560 W MAIN ST, SUITE 101
LEWISVILLE, TX 75057
Denton County (972) 221-1741
SCHULZ SURGICAL ASSOCIATES, P.A.
Surgery
560 W MAIN ST, SUITE 203
LEWISVILLE, TX 75057
Denton County (214) 222-7874
AJIJO INC
Pharmacy (Community/Retail Pharmacy)
560 W MAIN ST, STE 105
LEWISVILLE, TX 75057
Denton County (972) 906-0800
DR. JACK LEEGON JOHNSON JR. M.D.
Family Medicine
560 W MAIN ST, SUITE 100
LEWISVILLE, TX 75057
Denton County (972) 436-9797
JACK L. JOHNSON JR., M.D., P.A.
Family Medicine
560 W MAIN ST, SUITE 100
LEWISVILLE, TX 75057
Denton County (972) 436-9797

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 Nishendu M. Vasavada, M.D., P.A.'s NPI number?

The NPI number for Nishendu M. Vasavada, M.D., P.A. is 1700901022. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Lakeside Life Center.

Where is Nishendu M. Vasavada, M.D., P.A. located?

Nishendu M. Vasavada, M.D., P.A. is located at 560 W Main St Ste. 101, Lewisville, TX 75057. The listed phone number is (972) 221-1741.

What is Nishendu M. Vasavada, M.D., P.A.'s specialty?

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

Does Nishendu M. Vasavada, M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2069225) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nishendu M. Vasavada, M.D., P.A. was last updated on August 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.