NPIMap

Organization Active NPI

Sheryl Lacoursiere LLC

Doing business as Integral Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1053737965
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3861 Issued in CT
Legal business name
SHERYL LACOURSIERE LLC
Doing business as
Integral Psychiatric Services
Practice address
2 Pomperaug Office Park Ste 105
Southbury, CT 06488-2289
Phone
(203) 264-8000
Fax
(203) 841-1246
NPI assigned
Mar 16, 2014
Last updated
Sep 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Sheryl Lacoursiere, PHD, APRN
Title
Owner
Phone
(203) 264-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3861 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3861 CT Primary
Prescribing (Medical) Psychologist 103TP0016X NU

Addresses

Primary practice location

2 Pomperaug Office Park Ste 105
Southbury, CT 06488-2289

Mailing address

2 Pomperaug Office Park Ste 105
Southbury, CT 06488-2289
Phone (203) 264-8000

Other names 1

  • Integral Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

Locations

2 Pomperaug Office Park
Ste 105B
Southbury, CT 06488
Phone (203) 264-8000

500 Chase Pkwy
Ste 3C
Waterbury, CT 06708
Phone (203) 802-4609

NPI Registry JSON

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1053737965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POMPERAUG OFFICE PARK STE 105",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882289",
            "telephone_number": "203-264-8000",
            "fax_number": "203-841-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POMPERAUG OFFICE PARK STE 105",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882289",
            "telephone_number": "203-264-8000",
            "fax_number": "203-841-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL LACOURSIERE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "LACOURSIERE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-264-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "3861",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "3861",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integral Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integral Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.