Integrative Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021507 Issued in NY

Legal business name

INTEGRATIVE PSYCHOLOGICAL SERVICES, PLLC

Practice address

6 E 39TH St
New York, NY 10016-0112

Phone

(646) 580-8866

NPI assigned

Dec 5, 2016

Last updated

Sep 24, 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

Indiana Gould Buttenwieser, PSY.D.NPI 1174072870

Title

Owner

Phone

(646) 580-8866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Indiana Buttenwieser, PSY.D.

  • Psychologist
  • New York, NY
  • NPI 1174072870
  Authorized official Same address or phone

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1720522139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E 39TH ST STE 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160037",
            "telephone_number": "646-580-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E 39TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160112",
            "telephone_number": "646-580-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "BUTTENWIESER",
        "authorized_official_first_name": "INDIANA",
        "authorized_official_middle_name": "GOULD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-580-8866",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in New York, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.