NPIMap

Organization Active NPI

Integrated Behavioral Health Psychological Services, PLLC

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1295073393
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013297 Issued in MI
Legal business name
INTEGRATED BEHAVIORAL HEALTH PSYCHOLOGICAL SERVICES, PLLC
Practice address
5380 Holiday Ter
Suite #32
Kalamazoo, MI 49009-2154
Phone
(269) 459-1512
Fax
(269) 459-1514
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Authorized official

Name
Dr. Sheryl Lozowski-Sullivan, MPH,PHD
Title
Director
Phone
(269) 459-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6301013297 MI Primary

Addresses

Primary practice location

5380 Holiday Ter
Suite #32
Kalamazoo, MI 49009-2154

Mailing address

5380 Holiday Ter
Suite #32
Kalamazoo, MI 49009-2154
Phone (269) 459-1512

Other names 1

  • IBH Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

5380 Holiday Ter
Ste 32
Kalamazoo, MI 49009
Phone (269) 459-1512

Practitioners & affiliated clinicians

Practitioners 9

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1295073393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER",
            "address_2": "SUITE #32",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092154",
            "telephone_number": "269-459-1512",
            "fax_number": "269-459-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER",
            "address_2": "SUITE #32",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092154",
            "telephone_number": "269-459-1512",
            "fax_number": "269-459-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTH PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "LOZOWSKI-SULLIVAN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-459-1512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MPH,PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBH Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.