Medicine Lake Consultation Group,pllc
NPI 1881753564 · Psychiatry Physician · St Louis Park, MN
Medicine Lake Consultation Group,pllc is a Psychiatry Physician organization in St Louis Park, MN (NPI 1881753564).
Provider details
- NPI number
- 1881753564
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ani Ram, Office Manager(952) 378-1800
- License
- 103TC0700X (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Lakes Consultation Group
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2015-01-23
Frequently asked questions
- What is Medicine Lake Consultation Group,pllc's NPI number?
- Medicine Lake Consultation Group,pllc's National Provider Identifier (NPI) is 1881753564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicine Lake Consultation Group,pllc?
- Medicine Lake Consultation Group,pllc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Medicine Lake Consultation Group,pllc located?
- Medicine Lake Consultation Group,pllc's practice location on file with NPPES is 1155 Ford Road, St Louis Park, MN 55426.
- What is Medicine Lake Consultation Group,pllc's phone number?
- The practice phone number listed in the NPPES registry for Medicine Lake Consultation Group,pllc is (952) 378-1800.
- Who is the authorized official for Medicine Lake Consultation Group,pllc?
- The authorized official listed on Medicine Lake Consultation Group,pllc's NPPES record is Ani Ram, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicine Lake Consultation Group,pllc's NPI active?
- Yes — Medicine Lake Consultation Group,pllc's NPI (1881753564) is active in the NPPES registry as of the last update on 2015-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.