Organization Active NPI

Integrated Psychological Health & Wellness PLLC

  • Clinical Psychologist
  • Elmira, NY
National Provider Identifier
1477946507
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018932 Issued in NY
Legal business name
INTEGRATED PSYCHOLOGICAL HEALTH & WELLNESS PLLC
Practice address
351 College Ave
Elmira, NY 14901-2723
Phone
(067) 481-1194
Fax
(607) 398-7976
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Jeffrey Paul Barlow, PH.D.NPI 1578892568
Title
Psychologist
Phone
(607) 481-1194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 018932 NY Primary

Addresses

Primary practice location

351 College Ave
Elmira, NY 14901-2723

Mailing address

351 College Ave
Elmira, NY 14901-2723
Phone (067) 481-1194

National Provider Directory

National Provider Directory

Locations

351 College Ave
Elmira, NY 14901
Phone (607) 481-1194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1477946507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 COLLEGE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012723",
            "telephone_number": "067-481-1194",
            "fax_number": "607-398-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 COLLEGE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012723",
            "telephone_number": "067-481-1194",
            "fax_number": "607-398-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHOLOGICAL HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "607-481-1194",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.