Organization Active NPI

Integrated Geriatric Behavioral Health Associates, P.a.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1225027147
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTEGRATED GERIATRIC BEHAVIORAL HEALTH ASSOCIATES, P.A.
Practice address
8035 N 85TH Way
Scottsdale, AZ 85258-4321
Phone
(602) 256-9599
Fax
(480) 585-6109
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Pamela Willson, PHDNPI 1972591246
Title
Co-Owner
Phone
(602) 256-9599

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

8035 N 85TH Way
Scottsdale, AZ 85258-4321

Mailing address

PO Box 6605
Scottsdale, AZ 85261-6605
Phone (602) 256-9599

Other names 1

  • InteGer Doing business as

National Provider Directory

National Provider Directory

Locations

7500 E McDonald Dr
#400A
Scottsdale, AZ 85250
Phone (480) 946-0801

Practitioners & affiliated clinicians

Practitioners 5

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": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1225027147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6605",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616605",
            "telephone_number": "602-256-9599",
            "fax_number": "480-585-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 N 85TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584321",
            "telephone_number": "602-256-9599",
            "fax_number": "480-585-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED GERIATRIC BEHAVIORAL HEALTH ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-256-9599",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InteGer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.