LAKE PSYCHOLOGICAL SERVICES, LLC (NPI# 1578986923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578986923 |
| Entity Type | Organization |
| Organization Name | LAKE PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
115 Atrium Way Suite 221 Columbia SC 29223-6383 |
| Mailing Address |
Po Box 707 Blythewood SC 29016-0707 |
| Practice Telephone | 8036998887 |
| Practice Fax Number | 8036998824 |
| Mailing Telephone | 8036998887 |
| Mailing Fax Number | 8036998824 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | DR. KAREN DOWNS LAKE (OWNER) |
| Authorized Official Telephone | 8036998887 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
690 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225061971 | Lake Psychological Services, LLC | Psychologist | 115 Atrium Way, Suite #221, Columbia, SC 29223-6383 | 2006-07-08 |
| Street Address |
115 ATRIUM WAY SUITE 221 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477544112 | Randall S Colby | Medical Genetics | 115 Atrium Way, Suite 120, Columbia, SC 29223-6371 | 2005-11-02 |
| 1184274714 | Emily Neger | Psychologist | 115 Atrium Way, Suite 221, Columbia, SC 29223-6383 | 2019-09-16 |
| 1841732385 | Adroit Medical | Durable Medical Equipment & Medical Supplies | 115 Atrium Way, Ste 224 A, Columbia, SC 29223-6371 | 2016-11-15 |
| 1659774636 | Sandra G. Mccloy | Psychologist | 115 Atrium Way, Suite 221, Columbia, SC 29223-6371 | 2014-10-03 |
| 1356606578 | Kelsey Kata | Physical Therapist | 115 Atrium Way, Suite 232, Columbia, SC 29223-6371 | 2012-07-13 |
| 1982918777 | Leigh Kristen Womack | Physical Therapist | 115 Atrium Way, Suite 232, Columbia, SC 29223-6371 | 2010-08-04 |
| 1225275936 | William Joseph Sullivan | Physical Therapist | 115 Atrium Way, Ste 232, Columbia, SC 29223-6371 | 2009-01-16 |
| 1952491490 | Carolina Physical Therapy and Sports Medicine, Inc. | Physical Medicine & Rehabilitation | 115 Atrium Way, Suite 232, Columbia, SC 29223-6383 | 2006-10-13 |
| 1730275504 | C L Ballew | Physical Medicine & Rehabilitation | 115 Atrium Way, Suite 232, Columbia, SC 29223-6383 | 2006-10-05 |
| 1801983622 | Ashley B Harbin | Psychologist | 115 Atrium Way, Columbia, SC 29223-6371 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| Find all providers in COLUMBIA | ||||
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| 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.