Integrative Educational Partners, LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

INTEGRATIVE EDUCATIONAL PARTNERS, LLC

Practice address

6739 Courtland Dr NE
Suite 101
Rockford, MI 49341-7216

Phone

(616) 874-7490

Fax

(847) 770-4772

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Julie Ann Billett, NP

Title

Owner

Phone

(616) 874-7490

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1184807299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 COURTLAND DR NE",
            "address_2": "SUITE 101",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417216",
            "telephone_number": "616-874-7490",
            "fax_number": "847-770-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 COURTLAND DR NE",
            "address_2": "SUITE 101",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417216",
            "telephone_number": "616-874-7490",
            "fax_number": "847-770-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE EDUCATIONAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BILLETT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-874-7490",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Marie Jack, RN
• Chad J Jackson, OD
• Kristin M. Jacob, MD
• Erika Danielle Jaworowicz
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• Child & Adolescent Psychiatry Physician in Rockford, MI
• Providers in Rockford, MI by specialty
• Child & Adolescent Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.