NPIMap

Organization Active NPI

Integrated Community Services

  • Case Management Agency
  • San Rafael, CA
National Provider Identifier
1730916370
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INTEGRATED COMMUNITY SERVICES
Practice address
65 Mitchell Blvd Ste 104
San Rafael, CA 94903-2079
Phone
(415) 275-1108
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mr. Michael Pinkerton, MFT
Title
Director of Living Skills
Phone
(415) 275-1108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

65 Mitchell Blvd Ste 104
San Rafael, CA 94903-2079

Mailing address

65 Mitchell Blvd Ste 104
San Rafael, CA 94903-2079
Phone (415) 275-1108

National Provider Directory

National Provider Directory

Locations

65 Mitchell Blvd
Ste 104
San Rafael, CA 94903
Phone (415) 275-1108

Practitioners & affiliated clinicians

Practitioners 11

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": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1730916370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MITCHELL BLVD STE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032079",
            "telephone_number": "415-275-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MITCHELL BLVD STE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032079",
            "telephone_number": "415-275-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "PINKERTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF LIVING SKILLS",
        "authorized_official_telephone_number": "415-275-1108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.