Organization Active NPI

Integrative Health Institute LLC

  • Medical Specialty Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1467891176
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
88323 Issued in FL
Legal business name
INTEGRATIVE HEALTH INSTITUTE LLC
Practice address
6100 Glades Rd
Suite 310
Boca Raton, FL 33434-4325
Phone
(561) 756-9405
Fax
(561) 206-0967
NPI assigned
Jun 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Dr. Laura Elizabeth Skellchock, MD
Title
Owner/Physician
Phone
(561) 756-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 88323 FL Primary

Addresses

Primary practice location

6100 Glades Rd
Suite 310
Boca Raton, FL 33434-4325

Mailing address

6100 Glades Rd
Suite 310
Boca Raton, FL 33434-4325
Phone (561) 756-9405

National Provider Directory

National Provider Directory

Locations

6100 Glades Rd
Ste 310
Boca Raton, FL 33434
Phone (561) 756-9405

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1467891176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GLADES RD",
            "address_2": "SUITE 310",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344325",
            "telephone_number": "561-756-9405",
            "fax_number": "561-206-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GLADES RD",
            "address_2": "SUITE 310",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344325",
            "telephone_number": "561-756-9405",
            "fax_number": "561-206-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "SKELLCHOCK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "561-756-9405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "88323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.