LAKEVIEW MEDICAL & PSYCHIATRIC HEALTHCARE LLC
NPI 1942656749
Psychiatry & Neurology - Psychiatry in Macomb, IL

Active since May 11, 2016
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455(309) 575-3222(309) 404-8000 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2018, May 11, 2016 (2 updates tracked since 2016).

About Lakeview Medical & Psychiatric Healthcare Llc NPPES

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

LAKEVIEW MEDICAL & PSYCHIATRIC HEALTHCARE LLC (NPI 1942656749) is a healthcare organization registered as a psychiatry in Macomb, Illinois and active in the NPI registry since May 2016. The organization lists Michael Paul Bednarz, Owner, as its authorized official.

NPPES Registry Identity

NPI1942656749
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLAKEVIEW MEDICAL & PSYCHIATRIC HEALTHCARE LLC
Location Address1601 WEST JACKSON STREET, SUITE 104Macomb, IL 61455
Mailing Address1601 West Jackson Street, Suite 104Macomb, IL 61455 · (309) 575-3222 · Fax (309) 404-8000
Fax(309) 404-8000
Organization SubpartNo
Authorized OfficialMichael Paul BednarzOwner · (773) 485-3222
Enumeration DateMay 11, 2016
Last NPPES UpdateNovember 6, 20182 updates tracked since enumeration
✔ NPI 1942656749 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.
1601 WEST JACKSON STREET, Macomb, IL 61455

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeview Medical & Psychiatric Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeview Medical & Psychiatric Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Psychiatry
NPI 1184661407
1601 WEST JACKSON STREET SUITE 104
Macomb, IL 61455
(309) 575-3222
✔ PECOSSame address
Nurse Practitioner
NPI 1235534066
864 CORAL RD
Colchester, IL 62326
(309) 313-1187
✔ PECOS✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lakeview Medical & Psychiatric Healthcare LLC's NPI number?

The NPI number for Lakeview Medical & Psychiatric Healthcare LLC is 1942656749. It was assigned to this organization in the NPPES registry on May 11, 2016.

Where is Lakeview Medical & Psychiatric Healthcare LLC located?

Lakeview Medical & Psychiatric Healthcare LLC is located at 1601 West Jackson Street Suite 104, Macomb, IL 61455. The listed phone number is (309) 575-3222.

What is Lakeview Medical & Psychiatric Healthcare LLC's specialty?

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

Is Lakeview Medical & Psychiatric Healthcare LLC enrolled in Medicare?

Yes. Lakeview Medical & Psychiatric Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeview Medical & Psychiatric Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeview Medical & Psychiatric Healthcare LLC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeview Medical & Psychiatric Healthcare LLC was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.