NPIMap

Organization Active NPI

Integrative Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakdale, MN
National Provider Identifier
1396314654
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INTEGRATIVE HEALTH, LLC
Doing business as
Integrative Health, LLC
Practice address
988 Inwood Ave N
Oakdale, MN 55128-6625
Phone
(651) 263-4438
NPI assigned
Jun 22, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Calsey E Fasching, PSYDNPI 1194232975
Title
Partner
Phone
(651) 263-4388

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

988 Inwood Ave N
Oakdale, MN 55128-6625

Mailing address

7 Yellow Birch Rd
Dellwood, MN 55110-1413
Phone (651) 263-4438

Other names 1

  • Integrative Health, LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL cfasching@integrativehealthmn.com
CONNECT URL www.integrativehealthmn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211109002570 MN Part B Supplier - Clinic/Group Practice 5698164895 Receives reassigned benefits from 11 practitioners
Practice locations: Oakdale, MN; North Oaks, MN

National Provider Directory

National Provider Directory

Locations

500 Village Center Dr
North Oaks, MN 55127
Phone (612) 842-9814

992 Inwood Ave N
Saint Paul, MN 55128
Phone (612) 842-9814

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1396314654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 YELLOW BIRCH RD",
            "city": "DELLWOOD",
            "state": "MN",
            "postal_code": "551101413",
            "telephone_number": "651-263-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 INWOOD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286625",
            "telephone_number": "651-263-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "FASCHING",
        "authorized_official_first_name": "CALSEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "651-263-4388",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cfasching@integrativehealthmn.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "988 Inwood Ave N",
            "city": "Oakdale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551286625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.integrativehealthmn.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "988 Inwood Ave N",
            "city": "Oakdale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551286625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrative Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.