Organization Active NPI

Integrity Behavioral Health LLC

  • Psychiatry Physician
  • Fort Mill, SC
National Provider Identifier
1013420504
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21001 Issued in SC
Legal business name
INTEGRITY BEHAVIORAL HEALTH LLC
Practice address
951 Market St Ste 205
Fort Mill, SC 29708-6529
Phone
(803) 328-8255
Fax
(800) 598-6601
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mahir I Shah, M.D.NPI 1083709182
Title
Medical Director- Psychiatrist
Phone
(803) 372-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 21001 SC Primary

Addresses

Primary practice location

951 Market St Ste 205
Fort Mill, SC 29708-6529

Mailing address

951 Market St Ste 205
Fort Mill, SC 29708-6529
Phone (803) 372-8585

Other identifiers 1

IdentifierTypeStateIssuer
MD21001OtherSCMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230428001146 SC Part B Supplier - Clinic/Group Practice 1456716372 Receives reassigned benefits from 1 practitioner
Practice locations: Tega Cay, SC

National Provider Directory

National Provider Directory

Locations

951 Market St
Ste 205
Fort Mill, SC 29708
Phone (803) 328-8255

2424 India Hook Rd
Ste 120
Rock Hill, SC 29732
Phone (803) 328-8255

1180 Stonecrest Blvd
Ste 101
Tega Cay, SC 29708
Phone (803) 372-8585

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1013420504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MARKET ST STE 205",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086529",
            "telephone_number": "803-372-8585",
            "fax_number": "800-598-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MARKET ST STE 205",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086529",
            "telephone_number": "803-328-8255",
            "fax_number": "800-598-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAHIR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR- PSYCHIATRIST",
        "authorized_official_telephone_number": "803-372-8585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "21001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD21001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.