NPIMap

Organization Active NPI

Integrative Psychological Health, LLC

  • Adult Mental Health Clinic/Center
  • North Olmsted, OH
National Provider Identifier
1134587017
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6890 Issued in OH
Legal business name
INTEGRATIVE PSYCHOLOGICAL HEALTH, LLC
Practice address
26777 Lorain Rd Ste 412
North Olmsted, OH 44070-3224
Phone
(216) 801-4656
Fax
(216) 767-5900
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. Adriana Faur, PH.D.NPI 1659576940
Title
Psychologist
Phone
(440) 915-6515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6890 OH Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6890 OH

Addresses

Primary practice location

26777 Lorain Rd Ste 412
North Olmsted, OH 44070-3224

Mailing address

26777 Lorain Rd Ste 412
North Olmsted, OH 44070-3224
Phone (216) 801-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160406002375 OH Part B Supplier - Clinic/Group Practice 6608174685 Receives reassigned benefits from 5 practitioners
Practice locations: North Olmsted, OH

National Provider Directory

National Provider Directory

Locations

26777 Lorain Rd
Ste 412
North Olmsted, OH 44070
Phone (216) 801-4656

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1134587017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 412",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703224",
            "telephone_number": "216-801-4656",
            "fax_number": "216-767-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 412",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703224",
            "telephone_number": "216-801-4656",
            "fax_number": "216-767-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOLOGICAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "FAUR",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "440-915-6515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "6890",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "6890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.