Integra Psychological Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTEGRA PSYCHOLOGICAL SERVICES

Practice address

611 S Highway 78 Ste 211
Wylie, TX 75098-4081

Phone

(972) 442-0605

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Donya Blair-Tischer, MA, PSYD

Title

Clinical Psychologist

Phone

(701) 640-9453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1083260392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S HIGHWAY 78 STE 211",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984081",
            "telephone_number": "972-442-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S HIGHWAY 78 STE 211",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984081",
            "telephone_number": "972-442-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "BLAIR-TISCHER",
        "authorized_official_first_name": "DONYA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-640-9453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Wylie, TX
• Providers in Wylie, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.