Active NPI
Integrated Therapeutic Services
- Community/Behavioral Health Agency
- Yucca Valley, CA
National Provider Identifier
1194115162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PSY12146
- Legal business name
- INTEGRATED THERAPEUTIC SERVICES
- Practice address
- 55379 29 Palms Hwy
Yucca Valley, CA 92284-2501 - Phone
- (760) 365-4819
- NPI assigned
- Jan 29, 2015
- 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. Sarah Rushbrook, PHD
- Title
- Clinical Director
- Phone
- (760) 365-4819
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | PSY12146 | CA | Primary |
Addresses
Primary practice location
55379 29 Palms Hwy
Yucca Valley, CA 92284-2501
Mailing address
55379 29 Palms Hwy
Yucca Valley, CA 92284-2501
Phone (760) 365-4819
National Provider Directory
National Provider DirectoryLocations
55379 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 365-4819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422489600000",
"number": "1194115162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55379 29 PALMS HWY",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842501",
"telephone_number": "760-365-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55379 29 PALMS HWY",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842501",
"telephone_number": "760-365-4819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A",
"authorized_official_last_name": "RUSHBROOK",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "760-365-4819",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "PSY12146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.