NPIMap

Organization Active NPI

Integrity Psychological Services, PLLC

  • Clinical Psychologist
  • Staten Island, NY
National Provider Identifier
1750154829
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTEGRITY PSYCHOLOGICAL SERVICES, PLLC
Practice address
1110 South Ave Ste 404
Staten Island, NY 10314-3411
Phone
(800) 277-4680
Fax
(888) 556-9797
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Lisa Schwarz, P.H.DNPI 1992862841
Title
Director of Operations
Phone
(800) 277-4680

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1110 South Ave Ste 404
Staten Island, NY 10314-3411

Mailing address

1110 South Ave Ste 404
Staten Island, NY 10314-3411
Phone (800) 277-4680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110003815 NY Part B Supplier - Clinic/Group Practice 8224489547 Receives reassigned benefits from 34 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 494-2858

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1750154829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE STE 404",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143411",
            "telephone_number": "800-277-4680",
            "fax_number": "888-556-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE STE 404",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143411",
            "telephone_number": "800-277-4680",
            "fax_number": "888-556-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "800-277-4680",
        "authorized_official_credential": "P.H.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.