Active NPI
Integrative Psychological and Social Services
- Community/Behavioral Health Agency
- Edmonds, WA
National Provider Identifier
1437515442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PY60598436
- Legal business name
- INTEGRATIVE PSYCHOLOGICAL AND SOCIAL SERVICES
- Practice address
- 21701 76TH Ave W
Suite 302
Edmonds, WA 98026 - Phone
- (425) 678-0463
- Fax
- (425) 678-0591
- NPI assigned
- Jan 6, 2016
- Last updated
- Jan 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Jeanne West, PSYD
- Title
- Edmonds Director
- Phone
- (425) 678-0463
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60195906 | WA | |
| Community/Behavioral Health Agency | 251S00000X | PY60598436 | WA | Primary |
Addresses
Primary practice location
21701 76TH Ave W
Suite 302
Edmonds, WA 98026
Mailing address
21701 76TH Ave W
Suite 302
Edmonds, WA 98026
Phone (425) 678-0463
National Provider Directory
National Provider Directory- Tax ID family
- Integrative Psychological and Social Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Marysville, WA
- NPI 1114344074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452038400000",
"number": "1437515442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21701 76TH AVE W",
"address_2": "SUITE 302",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-678-0463",
"fax_number": "425-678-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21701 76TH AVE W",
"address_2": "SUITE 302",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-678-0463",
"fax_number": "425-678-0591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE PSYCHOLOGICAL AND SOCIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "JEANNE",
"authorized_official_title_or_position": "EDMONDS DIRECTOR",
"authorized_official_telephone_number": "425-678-0463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60195906",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "PY60598436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
- Innate Health Awareness LLC (Innate Radiance)
- Integrated Rehab Group Limited Partnership
- Integrated Rehabilitation Group PC (Edmonds Physical Therapy & Sports Rehabilitation)
- Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Harbor Square)
- Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Edmonds)
- Rebecca Isackson, D.O.
- Maggie C Ishaq, MS, LMHC, SUDP, CCS
- Virginia Smith Isler
- Nicole Ivancovich, LMHCA
- J & J Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.