Integrated Psychological Solutions LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0405 Issued in NV

Legal business name

INTEGRATED PSYCHOLOGICAL SOLUTIONS LLC

Practice address

2780 S Jones Blvd
Suite 108
Las Vegas, NV 89146-5628

Phone

(888) 320-2271

Fax

(888) 765-5221

NPI assigned

Jul 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie M BrownNPI 1801923339

Title

Owner/Member

Phone

(888) 320-5221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

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.

• Mark Philo Short, PSY.D.

  • School Psychologist
  • Las Vegas, NV
  • NPI 1124291778

  Clinical

  Medicare reassignment NPD
• Jeffrey Christopher Wood, PSY.D.

  • Clinical Psychologist
  • Boulder City, NV
  • NPI 1295993863
  Medicare reassignment NPD
• Jazmine Burt, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1922588748

  NV

  Medicare reassignment NPD
• Bonnie Marie Brown

  • Clinical Psychologist
  • Muskegon, MI
  • NPI 1801923339
  Authorized official Same address or phone

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1104379882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD",
            "address_2": "SUITE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "888-320-2271",
            "fax_number": "888-765-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD",
            "address_2": "SUITE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "888-320-2271",
            "fax_number": "888-765-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHOLOGICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "888-320-5221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.