Organization Active NPI

Vip Integrative Health Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1548728280
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VIP INTEGRATIVE HEALTH CARE LLC
Practice address
3600 Forest Hill Blvd Ste 3
Palm Springs, FL 33406-5617
Phone
(561) 909-8555
Fax
(747) 220-0351
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Martine Senatus, ARNPNPI 1548602063
Title
Owner
Phone
(561) 909-8555

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3600 Forest Hill Blvd Ste 3
Palm Springs, FL 33406-5617

Mailing address

3600 Forest Hill Blvd Ste 3
West Palm Beach, FL 33406-5617
Phone (561) 909-8555

Other practice location 1

7311 S Hulen St
Fort Worth, TX 76133-6616
Phone (561) 909-8555

Other identifiers 4

IdentifierTypeStateIssuer
102753900MedicaidFL
ME130639OtherFLME LICENSE
6907096OtherFLAFCH
9274128OtherFLARNP LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.vipintegrativehealthcare.com Direct
CONNECT URL www.vipintegrative.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, TX, NY, CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20190827003936 FL Part B Supplier - Clinic/Group Practice 4082942156 Receives reassigned benefits from 5 practitioners
Practice locations: Palm Springs, FL
O20220125002741 MD Part B Supplier - Clinic/Group Practice 4082942156 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD
O20220204001830 TX Part B Supplier - Clinic/Group Practice 4082942156 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX
O20230519001699 NY Part B Supplier - Clinic/Group Practice 4082942156 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20230816002380 CA Part B Supplier - Clinic/Group Practice 4082942156 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, CA

National Provider Directory

National Provider Directory
Tax ID family
Vip Integrative Health Care2 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.

Locations

3600 Forest Hill Blvd
Ste 3
West Palm Beach, FL 33406
Phone (561) 439-6644

2393 S Congress Ave
Ste 216
West Palm Beach, FL 33406

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

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": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1548728280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FOREST HILL BLVD STE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065617",
            "telephone_number": "561-909-8555",
            "fax_number": "747-220-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FOREST HILL BLVD STE 3",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065617",
            "telephone_number": "561-909-8555",
            "fax_number": "747-220-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7311 S Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761336616",
            "country_code": "US",
            "telephone_number": "561-909-8555",
            "fax_number": "747-220-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIP INTEGRATIVE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "SENATUS",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-909-8555",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102753900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "ME130639",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFCH",
            "identifier": "6907096",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "9274128",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.vipintegrativehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "information ehr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info",
            "address_1": "2393 S Congress Ave",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334067628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.vipintegrative.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3600 Forest Hill Blvd Ste 3",
            "city": "Palm Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334065617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.