NPIMap

Organization Active NPI

Integrated Health Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hampton, VA
National Provider Identifier
1255620951
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
INTEGRATED HEALTH SERVICES, LLC
Practice address
2 Eaton St Ste 1103
Hampton, VA 23669-4054
Phone
(757) 838-1894
NPI assigned
Apr 4, 2011
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Jennifer Baloy
Title
Director
Phone
(757) 838-1894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2 Eaton St Ste 1103
Hampton, VA 23669-4054

Mailing address

2 Eaton St Ste 1103
Hampton, VA 23669-4054
Phone (757) 838-1894

Other identifiers 1

IdentifierTypeStateIssuer
1255620951MedicaidVA

National Provider Directory

National Provider Directory

Locations

2 Eaton St
Ste 1103
Hampton, VA 23669
Phone (757) 838-1894

4410 Claiborne Sq E
Ste 220
Hampton, VA 23666
Phone (757) 838-1894

1403 Pemberton Rd
Ste 106
Henrico, VA 23238
Phone (804) 873-2364

6330 Newtown Rd
Ste 615
Norfolk, VA 23502
Phone (757) 838-1894

Practitioners & affiliated clinicians

Practitioners 9

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": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1255620951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 1103",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694054",
            "telephone_number": "757-838-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 1103",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694054",
            "telephone_number": "757-838-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BALOY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-838-1894"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255620951",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.