Integrative Behavioral Supports Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

RN1010245 Issued in DC

Legal business name

INTEGRATIVE BEHAVIORAL SUPPORTS INC.

Practice address

2001 Massachusetts Ave NW
Washington, DC 20036-1011

Phone

(202) 785-1836

Fax

(202) 722-0169

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Aisha Rachelle Riley, DNP, PMHNP-BC/FNP-BC

Title

Ceo

Phone

(202) 785-1836

Specialties & licenses 2

Addresses

Practitioners 1

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

• Christina Martin, LPC

  • Mental Health Counselor
  • Washington, DC
  • NPI 1629512496
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1063847549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361011",
            "telephone_number": "202-785-1836",
            "fax_number": "202-722-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361011",
            "telephone_number": "202-785-1836",
            "fax_number": "202-722-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BEHAVIORAL SUPPORTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-785-1836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC/FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "RN1010245",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0024167884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.