NPIMap

Organization Active NPI

Integrated Healthcare Systems Riviera Inc

  • Community/Behavioral Health Agency
  • Riviera Beach, FL
National Provider Identifier
1053092148
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC
Practice address
31 W 20TH St Ste 200
Riviera Beach, FL 33404-6155
Phone
(561) 899-9140
Fax
(561) 331-2715
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Monique D Brown Faust
Title
Executive Director
Phone
(561) 899-9140

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

31 W 20TH St Ste 200
Riviera Beach, FL 33404-6155

Mailing address

31 W 20TH St
Riviera Beach, FL 33404-6155
Phone (561) 899-9140

Other names 1

  • Integrated Healthcare Systems Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integrated Healthcare Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31 W 20th St
Ste 200
Riviera Beach, FL 33404
Phone (561) 899-9140

Practitioners & affiliated clinicians

Practitioners 1

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1053092148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 20TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046155",
            "telephone_number": "561-899-9140",
            "fax_number": "561-331-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 20TH ST STE 200",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046155",
            "telephone_number": "561-899-9140",
            "fax_number": "561-331-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "BROWN FAUST",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-899-9140"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Healthcare Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.