Lakeside Psychology Services, LLC
NPI 1174171649ActiveOrganization· Psychologist· St Louis Park, MN
Psychologist in St Louis Park, Minnesota, registered in NPPES in August 2019. The authorized official on file is Julie Anne McKay, PSY.D., LP, Licensed Clinical Psychologist.
Overview
| NPI | 1174171649 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2019 |
| Last updated in NPPES | Oct 4, 2022 |
| Certified by provider | Feb 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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