NPIMap

Organization Active NPI

Integrated Psychological Services LLC

  • Clinical Psychologist
  • Sparta, NJ
National Provider Identifier
1720545650
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTEGRATED PSYCHOLOGICAL SERVICES LLC
Practice address
37 Main St Ste 1067
Sparta, NJ 07871-1903
Phone
(718) 973-2401
Fax
(973) 786-4369
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Dr. Linda Busch, PHD
Title
Psychologist
Phone
(718) 408-0407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

37 Main St Ste 1067
Sparta, NJ 07871-1903

Mailing address

153 Dakota Dr
Lafayette, NJ 07848-4020
Phone (718) 408-0407

Other names 1

  • Linda Busch Somach Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190319000940 NJ Part B Supplier - Clinic/Group Practice 6507106127 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, NJ

National Provider Directory

National Provider Directory

Locations

37 Main St
Ste 1067
Sparta, NJ 07871
Phone (718) 973-2401

Practitioners & affiliated clinicians

Practitioners 7

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": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1720545650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 DAKOTA DR",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078484020",
            "telephone_number": "718-408-0407",
            "fax_number": "973-786-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAIN ST STE 1067",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711903",
            "telephone_number": "718-973-2401",
            "fax_number": "973-786-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-408-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Busch Somach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linda Busch Somach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.