Active NPI
Integrative Healthcare Center
- Adult Medicine Physician
- Nashua, NH
National Provider Identifier
1215569405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- INTEGRATIVE HEALTHCARE CENTER
- Practice address
- 155 Main Dunstable Rd Ste 200
Nashua, NH 03060-3640 - Phone
- (833) 622-0628
- Fax
- (603) 417-5937
- NPI assigned
- Feb 6, 2020
- 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
- Rusty Taylor
- Title
- Chief Financial Officer
- Phone
- (561) 917-2993
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
155 Main Dunstable Rd Ste 200
Nashua, NH 03060-3640
Mailing address
155 Main Dunstable Rd Ste 200
Nashua, NH 03060-3640
Phone (603) 821-0056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3124124 | Medicaid | NH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1215569405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAIN DUNSTABLE RD STE 200",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603640",
"telephone_number": "603-821-0056",
"fax_number": "603-417-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN DUNSTABLE RD STE 200",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603640",
"telephone_number": "833-622-0628",
"fax_number": "603-417-5937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTHCARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-06",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "RUSTY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "561-917-2993"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3124124",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.