Integral Development Therapies, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05358800 Issued in NJ

Legal business name

INTEGRAL DEVELOPMENT THERAPIES, LLC

Practice address

108 Main St
Suite #5
Oceanport, NJ 07757-1030

Phone

(732) 241-3029

Fax

(732) 865-7772

NPI assigned

Jun 2, 2011

Last updated

Jul 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virginia Downey, LCSW

Title

Owner

Phone

(732) 241-3029

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1073807558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAIN ST STE 5",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571030",
            "telephone_number": "732-241-3029",
            "fax_number": "732-865-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAIN ST",
            "address_2": "SUITE #5",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571030",
            "telephone_number": "732-241-3029",
            "fax_number": "732-865-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL DEVELOPMENT THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-241-3029",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05358800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1386780898",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Gray, MS, CCC-SLP
• Sandra Lee Greco, M.D.
• Linda Hakim, MS CCC SLP
• Jessica Hansel, SLP
• Jill Hrychynszyn, OTR
• Jenna Rose Romano LLC (Jersey Shore Wellness Studio)
• Jersey Shore Acupuncture
• John W, Van Lenten, D.M.D., P.a.
• Melissa Jones, OTR
• Joshua R Cohen PHD

• Community/Behavioral Health Agency in Oceanport, NJ
• Providers in Oceanport, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.