Active NPI
Integrated Psychiatric Care LLC
- Psychiatric/Mental Health Nurse Practitioner
- Ceredo, WV
National Provider Identifier
1639710965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INTEGRATED PSYCHIATRIC CARE LLC
- Practice address
- 402 C Street
Ceredo, WV 25507 - Phone
- (740) 861-1926
- NPI assigned
- Oct 8, 2019
- Last updated
- Sep 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Perkey
- Title
- Owner
- Phone
- (740) 861-1926
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
402 C Street
Ceredo, WV 25507
Mailing address
401 Orchard Dr
South Point, OH 45680-8406
National Provider Directory
National Provider DirectoryLocations
634 8th St
Huntington, WV 25701
Phone (304) 697-7080
Interoperability endpoints
- https://api.platform.athenahealth.com/20596/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Greenup, KY
- NPI 1356658488
-
- Chiropractor
- Huntington, WV
- NPI 1508941071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601337600000",
"number": "1639710965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ORCHARD DR",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456808406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 C STREET",
"city": "CEREDO",
"state": "WV",
"postal_code": "25507",
"telephone_number": "740-861-1926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED PSYCHIATRIC CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-08",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A",
"authorized_official_last_name": "PERKEY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-861-1926"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ceredo, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.