Active NPI
Integrative Counseling Services
- Clinical Psychologist
- Susanville, CA
National Provider Identifier
1083826200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- INTEGRATIVE COUNSELING SERVICES
- Practice address
- 472-100 Richmond Rd N
Susanville, CA 96130 - Phone
- (530) 257-5462
- Fax
- (530) 257-8954
- NPI assigned
- May 3, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Richard Elbert Riddle, PH. D,
- Title
- President
- Phone
- (530) 257-5462
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
472-100 Richmond Rd N
Susanville, CA 96130
Mailing address
472-100 Richmond Rd
Susanville, CA 96130
Phone (530) 257-5462
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Psychologist
- Susanville, CA
- NPI 1164635249
-
- Clinical Psychologist
- Susanville, CA
- NPI 1295957546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083826200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472-100 RICHMOND RD",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "96130",
"telephone_number": "530-257-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472-100 RICHMOND RD N",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "96130",
"telephone_number": "530-257-5462",
"fax_number": "530-257-8954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIDDLE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ELBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-257-5462",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH. D,"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.