Integrative Psychological Consultants, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3043-57 Issued in WI

Legal business name

INTEGRATIVE PSYCHOLOGICAL CONSULTANTS, LLC

Practice address

2317 International LN Ste 119
Madison, WI 53704-3154

Phone

(608) 467-8870

Fax

(608) 467-6735

NPI assigned

Nov 29, 2017

Last updated

Nov 29, 2017By 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

Dr. Lesley Baird Chapin, PSY.D.NPI 1457575524

Title

Owner

Phone

(608) 302-9752

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• Lesley Baird Chapin, PSY.D.

  • Psychologist
  • Madison, WI
  • NPI 1457575524
  NPD (past) Authorized official
• Ana Isabel Becerra, PSY.D.

  • Clinical Psychologist
  • Madison, WI
  • NPI 1831604032
  NPD (past)
• Aaron Brent Dickson-Baures, PHD

  • Psychologist
  • Madison, WI
  • NPI 1699329896
  NPD (past)
• Nicole Marie Dimond, LCSW, SAC-IT

  • Clinical Social Worker
  • Madison, WI
  • NPI 1609381706
  NPD (past)

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1740794627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 INTERNATIONAL LN STE 119",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043154",
            "telephone_number": "608-467-8870",
            "fax_number": "608-467-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 INTERNATIONAL LN STE 119",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043154",
            "telephone_number": "608-467-8870",
            "fax_number": "608-467-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOLOGICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "CHAPIN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "BAIRD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-302-9752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3043-57",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.