Integrative Medical P.C.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

215559 Issued in NY

Legal business name

INTEGRATIVE MEDICAL P.C.

Practice address

30 W 63Rd St
Suite 12 N
New York, NY 10023-7103

Phone

(212) 217-1516

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Tatiana Schneider, M.D.

Title

Incorporator

Phone

(212) 217-1516

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295859056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 63RD ST",
            "address_2": "SUITE 12 N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 63RD ST",
            "address_2": "SUITE 12 N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237103",
            "telephone_number": "212-217-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "212-217-1516",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NY",
            "license": "215559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195384",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "595BV1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Headache Medicine of New York PLLC
• Integrative Health Psychology, PLLC
• Integrative Manual Physical Therapy PC
• Integrative Medical Concepts P.C
• Integrative Medical Ny
• Integrative Medicine of Midtown
• Integrative Medicine of Nyc
• Integrative Mental Health Counselor of Ny
• Integrative Mind Body Dental Telehealth LLC
• Integrative Neuropsych Center

• Psychiatric Residential Treatment Facility in New York, NY
• Providers in New York, NY by specialty
• Psychiatric Residential Treatment Facility in New York

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