Active NPI
Integrative Neuroscience PLLC
- Psychiatry Physician
- Memphis, TN
National Provider Identifier
1194586578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- INTEGRATIVE NEUROSCIENCE PLLC
- Practice address
- 529 N Highland St
Memphis, TN 38122-5107 - Phone
- (901) 249-2154
- NPI assigned
- Jan 22, 2024
- 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
- Helen Ly, MD
- Title
- Owner
- Phone
- (901) 249-2154
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
529 N Highland St
Memphis, TN 38122-5107
Mailing address
529 N Highland St
Memphis, TN 38122-5107
Phone (901) 249-2154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240208001607 | TN | Part B Supplier - Clinic/Group Practice | 6800239666 |
Receives reassigned benefits from 3 practitioners Practice locations: Memphis, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Integrative Neuroscience PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurology Physician
- Memphis, TN
- NPI 1194585273
Locations
529 N Highland St
Memphis, TN 38122
Phone (901) 249-2154
Practitioners & affiliated clinicians
Practitioners 3
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": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1194586578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 N HIGHLAND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381225107",
"telephone_number": "901-249-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 N HIGHLAND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381225107",
"telephone_number": "901-249-2154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE NEUROSCIENCE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "LY",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-249-2154",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Inspiring Creative Living LLC
- Inspirit Foxbridge Operator LLC
- Integrated Wound Care Tennessee PLLC
- Integrative Health Associates PLLC
- Integrative Neuroscience PLLC
- Integrity First Caregivers, LLC
- Integrity Oncology, PLLC
- Intellectual Placement and Support Services
- Intellistars ABA TN
- Interim Healthcare of Memphis, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.