Integrated Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTEGRATED BEHAVIORAL HEALTH LLC

Practice address

17100 Silver Pkwy
Ste D
Fenton, MI 48430-3468

Phone

(810) 208-0378

Fax

(810) 963-1917

NPI assigned

Oct 7, 2019

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alisha Rae McCabeNPI 1356658579

Title

Practice Manager/Psychotherapist

Phone

(810) 922-1808

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

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.

• Alisha Rae McCabe, L.M.S.W.

  • Clinical Social Worker
  • Fenton, MI
  • NPI 1356658579
  Medicare reassignment Care Compare group NPD Authorized official
• Cheryl Bochenek, LCSW

  • Clinical Social Worker
  • Fenton, MI
  • NPI 1396019592
  Medicare reassignment Care Compare group NPD
• Macey Garrido

  • Clinical Social Worker
  • Fenton, MI
  • NPI 1053986489
  Medicare reassignment Care Compare group NPD
• Justine Seeley

  • Clinical Social Worker
  • Fenton, MI
  • NPI 1922666999
  Medicare reassignment Care Compare group NPD
• Thomas P Thompson, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
  • NPI 1912743279
  Medicare reassignment Care Compare group NPD
• Rachael Smith, PA-C

  • Physician Assistant
  • Fenton, MI
  • NPI 1598325177
  Medicare reassignment Care Compare group
• Sasha Chavez

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, MI
  • NPI 1275328502
  Medicare reassignment

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1396386785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 SILVER PKWY",
            "address_2": "STE D",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303468",
            "telephone_number": "810-208-0378",
            "fax_number": "810-963-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 SILVER PKWY",
            "address_2": "STE D",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303468",
            "telephone_number": "810-208-0378",
            "fax_number": "810-963-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRACTICE MANAGER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "810-922-1808"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356658579",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccabe@integratedbehaviorhealth.com",
            "affiliation": "N",
            "address_1": "8240 Embury Rd",
            "city": "Grand Blanc",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484397113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fenton, MI
• Providers in Fenton, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.