Organization Active NPI

Integrative Psychological and Social Services

  • Community/Behavioral Health Agency
  • Edmonds, WA
National Provider Identifier
1437515442
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY60598436 Issued in WA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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)CodeLicenseStatePrimary
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 Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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

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.

Verify at the official NPI Registry.