Organization Active NPI

Integrated Therapeutic Services

  • Clinical Social Worker
  • North Brunswick, NJ
National Provider Identifier
1073898607
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04836500 Issued in NJ
Legal business name
INTEGRATED THERAPEUTIC SERVICES
Practice address
985 Patton St
North Brunswick, NJ 08902-2285
Phone
(732) 247-9772
Fax
(732) 247-5772
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Ms. Donna Gilchrist, LCSWNPI 1184828550
Title
Licensed Clinical Social Worker
Phone
(848) 448-9152

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC04836500 NJ Primary

Addresses

Primary practice location

985 Patton St
North Brunswick, NJ 08902-2285

Mailing address

985 Patton St
North Brunswick, NJ 08902-2285
Phone (732) 247-9772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000767 NJ Part B Supplier - Clinic/Group Practice 4789850256 Receives reassigned benefits from 1 practitioner
Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

985 Patton St
North Brunswick, NJ 08902
Phone (732) 246-1939

1224 Livingston Ave
North Brunswick, NJ 08902
Phone (732) 247-9772

Practitioners & affiliated clinicians

Practitioners 2

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": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1073898607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PATTON ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022285",
            "telephone_number": "732-247-9772",
            "fax_number": "732-247-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PATTON ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022285",
            "telephone_number": "732-247-9772",
            "fax_number": "732-247-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "848-448-9152",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04836500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.