Organization Active NPI

Integrated Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1417592114
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTEGRATED PSYCHIATRIC SERVICES LLC
Practice address
627 24 1/2 Rd Ste F
Grand Junction, CO 81505-1277
Phone
(970) 644-5013
Fax
(970) 658-1138
NPI assigned
Nov 17, 2019
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Melinda Beth Allen, DNPNPI 1609280882
Title
Co-Owner
Phone
(970) 644-5013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

627 24 1/2 Rd Ste F
Grand Junction, CO 81505-1277

Mailing address

627 24 1/2 Rd Ste F
Grand Junction, CO 81505-1277
Phone (970) 644-5013

National Provider Directory

National Provider Directory

Locations

300 Main St
Ste 302C
Grand Junction, CO 81501

3096 I 70 Business
Ste D
Grand Junction, CO 81504
Phone (970) 314-2805

Practitioners & affiliated clinicians

Practitioners 2

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": "1573948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1417592114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 24 1/2 RD STE F",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051277",
            "telephone_number": "970-644-5013",
            "fax_number": "970-658-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 24 1/2 RD STE F",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051277",
            "telephone_number": "970-644-5013",
            "fax_number": "970-658-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-17",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "970-644-5013",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.