NPIMap

Organization Active NPI

Integrated Family Services, PLLC

  • Child & Adolescent Psychiatry Physician
  • Greenville, NC
National Provider Identifier
1235402884
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
INTEGRATED FAMILY SERVICES, PLLC
Practice address
105 E Victoria CT
Suite a
Greenville, NC 27858-5755
Phone
(252) 439-0700
Fax
(252) 439-0900
NPI assigned
Feb 13, 2012
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Anthony Jerome Manley-Rook, LCSW
Title
Administrative Director
Phone
(252) 439-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

105 E Victoria CT
Suite a
Greenville, NC 27858-5755

Mailing address

PO Box 885
Ahoskie, NC 27910-0885
Phone (252) 862-4411

National Provider Directory

National Provider Directory
Tax ID family
Integrated Family Services PLLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

105 E Victoria Ct
Ste A
Greenville, NC 27858
Phone (252) 215-1172

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1235402884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279100885",
            "telephone_number": "252-862-4411",
            "fax_number": "252-862-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E VICTORIA CT",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585755",
            "telephone_number": "252-439-0700",
            "fax_number": "252-439-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MANLEY-ROOK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "252-439-0700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.