Integrated Behavior Services Group Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

036003900 Issued in DC

Legal business name

INTEGRATED BEHAVIOR SERVICES GROUP INC

Practice address

3200 S St SE
Washington, DC 20020

Phone

(202) 610-1444

Fax

(202) 610-1445

NPI assigned

Mar 13, 2007

Reactivated

Jul 26, 2007

Last updated

Jul 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary J Samba

Title

Ceo

Phone

(202) 610-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Wright

  • Mental Health Counselor
  • Washington, DC
  • NPI 1215566708
  NPD (past)
• Janae Scully

  • Mental Health Counselor
  • Suitland, MD
  • NPI 1386112894
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1568595171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202410",
            "telephone_number": "202-610-1444",
            "fax_number": "202-610-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-610-1444",
            "fax_number": "202-610-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIOR SERVICES GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-07-10",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "SAMBA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-610-0144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "036003900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036003900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.