DR. CHARLES R LAKE (NPI# 1477632982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477632982 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R LAKE |
| Credential | MD,PHD |
| Practice Address |
3901rainbow Blvd 4070 Delp Kansas City KS 66160 |
| Practice Telephone | 9135881325 |
| Mailing Telephone | 9135881325 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
04-24437 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BC/BS | 19717033 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013144930 | Charles Leslie Lake | Dentist | 5001 Maccorkle Ave S.w., South Charleston, WV 25309-1299 | 2009-06-18 |
| Street Address |
3901RAINBOW BLVD 4070 DELP |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209124 | Restorative Brain Clinic, Inc | Psychiatry & Neurology | 1010 Carondelet Dr Ste 112, Kansas City, MO 64114-4821 | 2018-06-21 |
| 1114345840 | Carl Dubose | Psychiatry & Neurology | 4400 Broadway Ste 407, Kansas City, MO 64111 | 2014-03-31 |
| 1932460383 | Amanda L Klass | Psychiatry & Neurology | 3901 Rainbow Blvd., Mailstop 4015, University of Kansas Medical Center-psychiatry, Kansas City, KS 66160 | 2012-06-01 |
| 1700176757 | Kayla Gertsema | Psychiatry & Neurology | 10918 Elm Ave Ste 102, Kansas City, MO 64134-2284 | 2011-04-11 |
| 1992997043 | Myo Inc | Psychiatry & Neurology | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 | 2007-08-13 |
| 1265631527 | Micaela Patricia Wexler | Psychiatry & Neurology | 4203 Booth St, Kansas City, KS 66103-3116 | 2007-07-16 |
| 1699863019 | James Ray Trahan | Psychiatry & Neurology | 211 Ne 54th St Ste 201, Kansas City, MO 64118-4330 | 2006-10-11 |
| 1720174139 | Teresa N/a Moscovich | Psychiatry & Neurology | 4801 E . Linwood Street, Kansas City, MO 64128 | 2006-10-04 |
| 1023109246 | Francis Xavier Barth | Psychiatry & Neurology | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2006-09-27 |
| 1104917715 | Rosalie Pompushko | Psychiatry & Neurology | 6143 Wornall Rd, Kansas City, MO 64113-1417 | 2006-09-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
Please comment or provide details below to improve the information on DR. CHARLES R LAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.