Integrated Care Partners, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INTEGRATED CARE PARTNERS, PLLC

Practice address

884 Washington St FL 2
Weymouth, MA 02189-1530

Phone

(617) 909-5283

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Teri Muir

Title

Administrator

Phone

(774) 454-2893

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Ashiwan Kumar

  • Behavior Technician
  • Waltham, MA
  • NPI 1093277246
  NPD

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1679168215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST FL 2",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891530",
            "telephone_number": "617-909-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WASHINGTON ST FL 2",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891530",
            "telephone_number": "617-909-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "774-454-2893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Iacobacci, LMT
• Hani Ibrahim, M.D.
• Ann Igbo, PHARMD
• IHS of Massachusetts, LLC
• Catherine Gemma Ingemanson
• Integrative Psychotherapy Services LLC
• Iraj Aghdasi, MD PC
• Martin Iser, M.D.
• Michelle Ives, CNM
• Kayvon Izadpanah

• Multi-Specialty Clinic/Center in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Multi-Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.