NPIMap

Organization Active NPI

Integrated Psychological Assessment Services, Inc

Doing business as Integrated Psychological Assessment Services

  • Psychologist
  • Gilroy, CA
National Provider Identifier
1750926374
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
INTEGRATED PSYCHOLOGICAL ASSESSMENT SERVICES, INC
Doing business as
Integrated Psychological Assessment Services
Practice address
8355 Church St
Gilroy, CA 95020-4406
Phone
(408) 359-6700
NPI assigned
Nov 7, 2019
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Stephanie Williams, PHDNPI 1669765590
Title
Ceo
Phone
(408) 359-6700

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Forensic Psychologist 103TF0200X NU
Social Worker 104100000X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

8355 Church St
Gilroy, CA 95020-4406

Mailing address

PO Box 657
Gilroy, CA 95021-0657
Phone (408) 359-6700

Other names 1

  • Integrated Psychological Assessment Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122001207 CA Part B Supplier - Clinic/Group Practice 2769871268 Receives reassigned benefits from 9 practitioners
Practice locations: Gilroy, CA

National Provider Directory

National Provider Directory

Locations

8355 Church St
Gilroy, CA 95020
Phone (408) 201-9850

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1750926374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950210657",
            "telephone_number": "408-359-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 CHURCH ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204406",
            "telephone_number": "408-359-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHOLOGICAL ASSESSMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-359-6700",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Psychological Assessment Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Psychological Assessment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.