LAKESIDE MENTAL HEALTH, PLLC – Psychiatric/Mental Health Nurse Practitioner, NPI 1619494168

LAKESIDE MENTAL HEALTH, PLLC is a healthcare provider. based in Lakeville, Massachusetts. specializing in Psychiatric/Mental Health Nurse Practitioner. The organization holds a License No. 2992320 (MA). The NPI Number for LAKESIDE MENTAL HEALTH, PLLC is 1619494168

Main info

Organization
Name
LAKESIDE MENTAL HEALTH, PLLC
NPI
1619494168
Phone
Not provided
Address
104 CHARLES ELDRIDGE DRIVE STE 1
Authorized Official
MRS. EMILY-ROSE MONTGOMERY VIRDEN OWNER/ NURSE PRACTITIONER PMHNP-BC
Enumeration Date
25 August 2017
Last Update Date
25 August 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for LAKESIDE MENTAL HEALTH, PLLC

  • 1, Charles Eldridge Drive, Lakeville, Plymouth County, Massachusetts, 02347, United States

    LAKEVILLE, MA 02347

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02347)

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Frequently asked questions

What identifier follows LAKESIDE MENTAL HEALTH, PLLC across health systems?
The NPI 1619494168 uniquely identifies LAKESIDE MENTAL HEALTH, PLLC in U.S. healthcare data.
Is LAKESIDE MENTAL HEALTH, PLLC's NPI status active today?
Active status means LAKESIDE MENTAL HEALTH, PLLC's NPI record is not deactivated in the public file.
What does the directory say LAKESIDE MENTAL HEALTH, PLLC does?
Insurance directories may phrase it differently, but here LAKESIDE MENTAL HEALTH, PLLC maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LAKESIDE MENTAL HEALTH, PLLC?
LAKESIDE MENTAL HEALTH, PLLC shows a connection to Lakeville, Massachusetts in registry-derived data.
Who maintains LAKESIDE MENTAL HEALTH, PLLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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