Integrative Mind Body Psychotherapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INTEGRATIVE MIND BODY PSYCHOTHERAPY LLC

Practice address

818 SW Forest Ave Ste B
Redmond, OR 97756-2737

Phone

(541) 293-3039

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Juza-Hamrick, LCSWNPI 1457718421

Title

Social Worker/ Owner

Phone

(541) 293-3039

Specialties & licenses 1

Addresses

Practitioners 1

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

• Amanda Juza-Hamrick, LCSW

  • Clinical Social Worker
  • Redmond, OR
  • NPI 1457718421
  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1699593483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 SW POKEGAMA DR",
            "city": "POWELL BUTTE",
            "state": "OR",
            "postal_code": "977531564",
            "telephone_number": "541-293-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SW FOREST AVE STE B",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562737",
            "telephone_number": "541-293-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61396 S Highway 97 Ste 224",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977022159",
            "country_code": "US",
            "telephone_number": "541-293-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE MIND BODY PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "JUZA-HAMRICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "SOCIAL WORKER/ OWNER",
        "authorized_official_telephone_number": "541-293-3039",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viriyavong V Im, PHARM D
• Infinite Healing Solutions
• Infinite Healing Solutions Family Clinic LLC
• Marissa Inman
• Integrative Behavioral Health and Wellness LLC
• Internal Medicine Associates of Redmond
• Pamela J Irby, MD
• Reanna Irigoyen, MS, LPC, NCC, MSW
• Lukas Ishiyama, CADC-R
• Krysta Ivens

• Adult Mental Health Clinic/Center in Redmond, OR
• Providers in Redmond, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.