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

Lee M Periolat, MD

Individual provider Psychiatry Physician · NPI 1417974072

Lee M Periolat, MD is a Psychiatry Physician in Valparaiso, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Wall St
Valparaiso, IN 46383-2512
Phone: (219) 531-3662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 01026484 (IN)

Record details

NPI number1417974072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address601 Wall St, Valparaiso, IN 46383-2512

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