Lakeside Community Committee
NPI 1003656752 · Adolescent and Children Mental Health Clinic/Center · Chicago, IL
Lakeside Community Committee is a Adolescent and Children Mental Health Clinic/Center organization in Chicago, IL (NPI 1003656752).
Provider details
- NPI number
- 1003656752
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Johnson, Chief Operating Officer(773) 841-4368
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is Lakeside Community Committee's NPI number?
- Lakeside Community Committee's National Provider Identifier (NPI) is 1003656752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Community Committee?
- Lakeside Community Committee is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Community Committee located?
- Lakeside Community Committee's practice location on file with NPPES is 7418 S Cottage Grove Ave, Chicago, IL 60619-1912.
- What is Lakeside Community Committee's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Community Committee is (773) 224-9217.
- Who is the authorized official for Lakeside Community Committee?
- The authorized official listed on Lakeside Community Committee's NPPES record is Tiffany Johnson, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Community Committee's NPI active?
- Yes — Lakeside Community Committee's NPI (1003656752) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.