Integrated Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6767 Issued in FL

Legal business name

INTEGRATED PSYCHOLOGICAL SERVICES LLC

Practice address

2631 NW 41St St Ste E5
Gainesville, FL 32606-6689

Phone

(808) 747-5435

Fax

(866) 384-4779

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Gedney, PSYD

Title

Owner

Phone

(808) 747-5435

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 7

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

• Jane Ellen Echterling, PH.D.

  • Clinical Psychologist
  • Macclenny, FL
  • NPI 1174734073
  Medicare reassignment NPD
• Courtney Danielle Stahl, PSYD

  • Clinical Psychologist
  • Gainesville, FL
  • NPI 1043250525
  Medicare reassignment
• Mary Elizabeth Hammons, PH.D

  • Clinical Psychologist
  • Lake City, FL
  • NPI 1518243344
  NPD (past)
• Ronda Ranee Jordan, PSYD

  • Clinical Psychologist
  • Gainesville, FL
  • NPI 1447446083
  NPD (past)
• Linda N Lotz, PHD

  • Counseling Psychologist
  • Gainesville, FL
  • NPI 1780807479
  NPD (past)
• Deborah Pais, LCSW

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1225042096
  NPD (past)
• Cynthia Kathleen Pedersen, LCSW

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1316079528
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1790964807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358742",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326358742",
            "telephone_number": "808-747-5435",
            "fax_number": "866-384-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 NW 41ST ST STE E5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066689",
            "telephone_number": "808-747-5435",
            "fax_number": "866-384-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "GEDNEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-747-5435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Insabella, PA-C
• Insightful Counseling Services, Inc.
• Domenic Inskip
• Integrated Dermatology of Gainesville, LLC (Florida Skin Cancer And Dermatology Specialist)
• Integrated Facility Partners PLLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrative Care Services LLC (Integrative Care Services)
• Integrity Companion Care LLC

• Clinical Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.