Lakeside Behavioral Health, LLC
NPI 1093269003 · Psychiatry Physician · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Behavioral Health, LLC is a Psychiatry Physician organization in Saint Louis, MO (NPI 1093269003).
Provider details
- NPI number
- 1093269003
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashok Yanamadala, Psychiatrist(314) 930-3520
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 150 Saint Peters Centre BlvdSuite BSaint Peters, MO 63376-1653Phone: (314) 930-3520Fax: (314) 930-3675
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2019-08-19
Frequently asked questions
- What is Lakeside Behavioral Health, LLC's NPI number?
- Lakeside Behavioral Health, LLC's National Provider Identifier (NPI) is 1093269003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Behavioral Health, LLC?
- Lakeside Behavioral Health, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Behavioral Health, LLC located?
- Lakeside Behavioral Health, LLC's practice location on file with NPPES is 4121 Union Rd, Saint Louis, MO 63129-1070.
- What is Lakeside Behavioral Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Behavioral Health, LLC is (314) 930-3520.
- Does Lakeside Behavioral Health, LLC accept Medicare?
- Lakeside Behavioral Health, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Behavioral Health, LLC?
- The authorized official listed on Lakeside Behavioral Health, LLC's NPPES record is Ashok Yanamadala, Psychiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Behavioral Health, LLC's NPI active?
- Yes — Lakeside Behavioral Health, LLC's NPI (1093269003) is active in the NPPES registry as of the last update on 2019-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.