Active NPI
Integrative Human Services, LLC
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1750145140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INTEGRATIVE HUMAN SERVICES, LLC
- Practice address
- 4643 Hazel Ave Apt 2
Philadelphia, PA 19143-2195 - Phone
- (267) 243-2531
- NPI assigned
- Feb 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derrick Tettey Dicker, PHD
- Title
- Owner / Ceo
- Phone
- (267) 243-2531
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4643 Hazel Ave Apt 2
Philadelphia, PA 19143-2195
Mailing address
4643 Hazel Ave Apt 2
Philadelphia, PA 19143-2195
Phone (267) 243-2531
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Philadelphia, PA
- NPI 1669737029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1750145140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4643 HAZEL AVE APT 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191432195",
"telephone_number": "267-243-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4643 HAZEL AVE APT 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191432195",
"telephone_number": "267-243-2531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HUMAN SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "DICKER",
"authorized_official_first_name": "DERRICK",
"authorized_official_middle_name": "TETTEY",
"authorized_official_title_or_position": "OWNER / CEO",
"authorized_official_telephone_number": "267-243-2531",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Integrative Aging in Place LLC
- Integrative Behavioral Home Healthcare
- Integrative Behavioral Homecare
- Integrative Family Therapy
- Integrative Health Link, LLC
- Integrative Psychiatry of America, PLLC
- Integrative Psychotherapy and Wellness LLC
- Integrite Consulting,LLC
- Integrity Behavior Health Services LLC
- Integrity Family Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.