OrganizationActive
Lakeside Serenity Psychiatry, LLC
NPI 1366308785 · Psychiatry Physician · Portland, OR
Lakeside Serenity Psychiatry, LLC is a Psychiatry Physician organization in Portland, OR (NPI 1366308785).
Provider details
- NPI number
- 1366308785
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dallas Upchurch, Owner(917) 265-9614
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5441 S.maccadan Ave 8160
Portland, OR 97239
Phone: (917) 265-9614
Approximate (ZIP-level) locationGet directions
Mailing address
821 Kendra Dr
Temple, TX 76502-5878
Registry dates
- Enumerated
- 2025-12-30
- Last updated
- 2025-12-30
- Certified
- 2025-12-27
Frequently asked questions
- What is Lakeside Serenity Psychiatry, LLC's NPI number?
- Lakeside Serenity Psychiatry, LLC's National Provider Identifier (NPI) is 1366308785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Serenity Psychiatry, LLC?
- Lakeside Serenity Psychiatry, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Serenity Psychiatry, LLC located?
- Lakeside Serenity Psychiatry, LLC's practice location on file with NPPES is 5441 S.maccadan Ave 8160, Portland, OR 97239.
- What is Lakeside Serenity Psychiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Serenity Psychiatry, LLC is (917) 265-9614.
- Who is the authorized official for Lakeside Serenity Psychiatry, LLC?
- The authorized official listed on Lakeside Serenity Psychiatry, LLC's NPPES record is Dallas Upchurch, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Serenity Psychiatry, LLC's NPI active?
- Yes — Lakeside Serenity Psychiatry, LLC's NPI (1366308785) is active in the NPPES registry as of the last update on 2025-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.