Integrative Psychology Associates of South Jersey , LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00426200 Issued in NJ

Legal business name

INTEGRATIVE PSYCHOLOGY ASSOCIATES OF SOUTH JERSEY , LLC

Practice address

123 Egg Harbor Rd Ste 302
Sewell, NJ 08080-9406

Phone

(856) 278-6095

NPI assigned

Aug 8, 2017

Last updated

Aug 8, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karen Alberts Saporito, PH.D.NPI 1619306669

Title

Owner

Phone

(856) 631-6534

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen A Saporito, PH.D.

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1619306669
  NPD Authorized official
• Bryan Hendricks, PSYD

  • Psychologist
  • Sewell, NJ
  • NPI 1598284770
  NPD (past)
• Michelle Petrongolo, PSY.D., BCBA

  • Behavior Analyst
  • Sewell, NJ
  • NPI 1447500574

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1003331315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 CLARK DR",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621839",
            "telephone_number": "856-631-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 302",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-278-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOLOGY ASSOCIATES OF SOUTH JERSEY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "SAPORITO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ALBERTS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-631-6534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00426200",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00426200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Iatarola
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• Marissa Nicole Ionno, PA-C
• Jason Irlich, PHARMD
• Jennifer Kaitlyn Irlich, OTR-L
• Jamie L Iuliucci, CPNP

• Clinical Psychologist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.