Integrated Minds Psychological Services, Inc

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

PSY24995 Issued in CA

Legal business name

INTEGRATED MINDS PSYCHOLOGICAL SERVICES, INC

Practice address

3625 E Thousand Oaks Blvd Ste 209
Westlake Village, CA 91362-3566

Phone

(818) 645-3337

NPI assigned

Feb 22, 2017

Organization subpart

Yes

Parent organization

CHARLES F KAIRYSAs reported in NPPES

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

Authorized official

Name

Dr. Charles F Kairys, PSY.D.

Title

President

Phone

(818) 645-3337

Specialties & licenses 1

Addresses

Part of

Charles Kairys

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Selvin Harris, PSYD

  • Psychologist
  • Westlake Village, CA
  • NPI 1992075386
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1255870382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623566",
            "telephone_number": "818-645-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623566",
            "telephone_number": "818-645-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MINDS PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES F KAIRYS",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "KAIRYS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-645-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY24995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalysis Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Psychoanalysis Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.