NPIMap

Organization Active NPI

Integrated Therapy Services Inc.

  • Behavior Analyst
  • Camarillo, CA
National Provider Identifier
1245513894
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-8110 Issued in CA
Legal business name
INTEGRATED THERAPY SERVICES INC.
Practice address
150 Valley Vista Dr
Camarillo, CA 93010-1725
Phone
(805) 484-1671
Fax
(805) 987-0667
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Ms. Elisabeth Cheryl Fletcher, SLP-CCC, BCBANPI 1225195183
Title
President (Ceo)
Phone
(805) 484-1671

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-11-8110 CA Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X LEP2570 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP3002 CA
Early Intervention Provider Agency 252Y00000X SP3002 CA

Addresses

Primary practice location

150 Valley Vista Dr
Camarillo, CA 93010-1725

Mailing address

150 Valley Vista Dr
Camarillo, CA 93010-1725
Phone (805) 484-1671

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ83857ZOtherCABLUE OF CALIFORNIA

National Provider Directory

National Provider Directory

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1245513894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VALLEY VISTA DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101725",
            "telephone_number": "805-484-1671",
            "fax_number": "805-987-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VALLEY VISTA DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101725",
            "telephone_number": "805-484-1671",
            "fax_number": "805-987-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT (CEO)",
        "authorized_official_telephone_number": "805-484-1671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP-CCC, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-8110",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP2570",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3002",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "SP3002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE OF CALIFORNIA",
            "identifier": "ZZZ83857Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.