Active NPI
Intensive Integration Outpatient Corporation
- Community/Behavioral Health Agency
- Plano, TX
National Provider Identifier
1073934055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3695-3696
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Plano, TX
- NPI 1821455999
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"
}
]
}
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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.