NPIMap

Organization Active NPI

Integrated Family Services, PLLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1679009237
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTEGRATED FAMILY SERVICES, PLLC
Practice address
1602 Physicians Dr
Ste. 101
Wilmington, NC 28401-7363
Phone
(252) 439-0700
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Tina Phillips
Title
Assistant Administrative Director
Phone
(252) 439-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1602 Physicians Dr
Ste. 101
Wilmington, NC 28401-7363

Mailing address

1602 Physicians Dr
Ste. 101
Wilmington, NC 28401-7363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000513 NC Part B Supplier - Clinic/Group Practice 2567464563 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC; Jacksonville, NC; Elizabeth City, NC; Greenville, NC; Ahoskie, NC

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Integrated Family Services PLLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

3001 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 347-8642

1602 Physicians Dr
Ste 101
Wilmington, NC 28401
Phone (910) 362-9881

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": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1679009237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 PHYSICIANS DR",
            "address_2": "STE. 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 PHYSICIANS DR",
            "address_2": "STE. 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017363",
            "telephone_number": "252-439-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "252-439-0700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.