Organization Active NPI

Integrative Healthcare Providers PLLC

  • Multi-Specialty Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1073357497
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INTEGRATIVE HEALTHCARE PROVIDERS PLLC
Practice address
2800 S State St Ste 215
Ann Arbor, MI 48104-7103
Phone
(734) 547-3990
Fax
(734) 547-3980
NPI assigned
Jun 20, 2024
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Amanda Hallberg, MDNPI 1255429320
Title
Physician Owner
Phone
(734) 547-3990

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2800 S State St Ste 215
Ann Arbor, MI 48104-7103

Mailing address

2800 S State St Ste 215
Ann Arbor, MI 48104-7103
Phone (734) 547-3990

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2332510Integrative Healthcare Providers PLLC2800 S State Street Suite 215, Ann Arbor, MI 48104Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Locations

2800 S State St
Ste 215
Ann Arbor, MI 48104
Phone (734) 210-1285

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1073357497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S STATE ST STE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047103",
            "telephone_number": "734-547-3990",
            "fax_number": "734-547-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S STATE ST STE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047103",
            "telephone_number": "734-547-3990",
            "fax_number": "734-547-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTHCARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "HALLBERG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "734-547-3990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.