Organization Active NPI

Integrated Insight Therapy, LLC

  • Primary Care Clinic/Center
  • Norwood, CO
National Provider Identifier
1407551864
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTEGRATED INSIGHT THERAPY, LLC
Practice address
1555 Summit St Ste a
Norwood, CO 81423-5169
Phone
(970) 201-1467
Fax
(970) 399-3648
NPI assigned
Apr 4, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED INSIGHT THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Vicky Ubell
Title
Credentialing / Billing
Phone
(970) 615-0076

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

1555 Summit St Ste a
Norwood, CO 81423-5169

Mailing address

555 Meeker St
Delta, CO 81416-1920
Phone (970) 201-1467

Other names 1

  • Norwood Office Other name

National Provider Directory

National Provider Directory
Tax ID family
Integrated Insight Therapy11 organizations share this tax ID, including this one
Part of
Integrated Insight Therapy

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1407551864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MEEKER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161920",
            "telephone_number": "970-201-1467",
            "fax_number": "970-399-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUMMIT ST STE A",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "814235169",
            "telephone_number": "970-201-1467",
            "fax_number": "970-399-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED INSIGHT THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED INSIGHT THERAPY, LLC",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "UBELL",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "CREDENTIALING / BILLING",
        "authorized_official_telephone_number": "970-615-0076"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwood Office",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Norwood Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.