Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Psychiatry PC

Organization Psychiatry Physician · NPI 1124859400

Lakeside Psychiatry PC is a Psychiatry Physician in Shrewsbury, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Water St
Shrewsbury, MA 01545-4228
Phone: (919) 717-9673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1124859400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Stalcup — Owner/Authorized Official · (919) 717-9673
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address5 Water St, Shrewsbury, MA 01545-4228

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