Integrative Psychological Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071006751 Issued in IL

Legal business name

INTEGRATIVE PSYCHOLOGICAL SOLUTIONS, LLC

Practice address

800 S Milwaukee Ave Ste 180
Libertyville, IL 60048-3200

Phone

(312) 804-4360

NPI assigned

Feb 26, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karina Bortnik, PSY.D.NPI 1548388036

Title

Clinical Director

Phone

(312) 804-4360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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.

• Karina Bortnik, PSY.D.

  • Psychologist
  • Libertyville, IL
  • NPI 1548388036
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1235521303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 EXETER LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621139",
            "telephone_number": "312-804-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 180",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483200",
            "telephone_number": "312-804-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOLOGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BORTNIK",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "312-804-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071006751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene F Ingles IV, DDS
• Lori L Inman, OTR
• Marzena M Inman, DPT
• Integrated Home Healthcare Services, Corp
• Integrated Palliative and Hospice LLC (Integrated Palliative and Hospice)
• Integrity Physical Therapy, Inc. (Integrity Physical Therapy)
• Carmela Patricia Iovane-Mock, NURSE PRACTITIONER
• Laura M Irby, PA-C
• Bruce William Irwin, M.D.
• Leisel Iverson, ATC

• Community/Behavioral Health Agency in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.

Verify at the official NPI Registry.