Active NPI
Integrated Psychological Solutions LLC
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1104379882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0405
- 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
- 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. Bonnie M Brown
- Title
- Owner/Member
- Phone
- (888) 320-5221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0405 | NV | Primary |
Addresses
Primary practice location
2780 S Jones Blvd
Suite 108
Las Vegas, NV 89146-5628
Mailing address
2780 S Jones Blvd
Suite 108
Las Vegas, NV 89146-5628
Phone (888) 320-2271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2860 S Jones Blvd
Ste 110
Las Vegas, NV 89146
Phone (888) 320-2271
2780 S Jones Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 333-4433
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Boulder City, NV
- NPI 1295993863
NPI Registry JSON
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": []
}Other providers in Las Vegas, NV
- Integrated Medical Group Eastern Region Inc
- Integrated Medical Group Inc
- Integrated Pain Relief, LLC
- Integrated Psychological LLC
- Integrated Psychological Services LLC
- Integrated Solutions for Wellness
- Integrated Support Solutions
- Integrated Urology Network LLC
- Integrative Acupuncture of Southern Nevada LLC
- Integrative Family Medicine
Sources for this page
- 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.