Organization Active NPI

Intensive Integration Outpatient Corporation

  • Community/Behavioral Health Agency
  • Plano, TX
National Provider Identifier
1073934055
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3695-3696 Issued in TX
Legal business name
INTENSIVE INTEGRATION OUTPATIENT CORPORATION
Practice address
101 E Park Blvd
Suite 202
Plano, TX 75074-5483
Phone
(972) 424-5659
Fax
(972) 424-5653
NPI assigned
Dec 18, 2013
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Michelle Adams
Title
Chief Executive Officer
Phone
(972) 424-5659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3695-3696 TX Primary

Addresses

Primary practice location

101 E Park Blvd
Suite 202
Plano, TX 75074-5483

Mailing address

12300 Hunters Creek Rd
College Station, TX 77845-7524
Phone (979) 690-2220

Other names 1

  • Intensive Integration Other name

National Provider Directory

National Provider Directory

Locations

101 E Park Blvd
Ste 202
Plano, TX 75074
Phone (972) 424-5659

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": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1073934055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 HUNTERS CREEK RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457524",
            "telephone_number": "979-690-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARK BLVD",
            "address_2": "SUITE 202",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745483",
            "telephone_number": "972-424-5659",
            "fax_number": "972-424-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE INTEGRATION OUTPATIENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "972-424-5659"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "3695-3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intensive Integration",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.