Integral Psychology Circle, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012483 Issued in NY

Legal business name

INTEGRAL PSYCHOLOGY CIRCLE, P.C.

Doing business as

Integral Psychology Circle

Practice address

6565 Spring Brook Avenue
Suite 5
Rhinebeck, NY 12572

Phone

(845) 516-4364

NPI assigned

Sep 11, 2017

Last updated

Nov 10, 2020By 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

Ms. Sherry Tankersley, PHDNPI 1588087043

Title

Officer/Principal

Phone

(845) 516-4364

Specialties & licenses 2

Addresses

Other names 1

• Integral Psychology Circle Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Sherry Ann Tankersley, PHD

  • Psychologist
  • Poughkeepsie, NY
  • NPI 1588087043
  Medicare reassignment NPD Authorized official
• Safieh Ghods-Kash, PHD

  • Clinical Psychologist
  • Kingston, NY
  • NPI 1134164072
  NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1801315916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 SPRING BROOK AVENUE",
            "address_2": "SUITE 5",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-516-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 SPRING BROOK AVENUE",
            "address_2": "SUITE 5",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-516-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL PSYCHOLOGY CIRCLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "TANKERSLEY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICER/PRINCIPAL",
        "authorized_official_telephone_number": "845-516-4364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021029",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integral Psychology Circle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delaney Hughes
• Roger C. Husted, MD
• Ingrid Johanna Sjoerdje Hylkema, PT
• I Kneaded This
• Lauren Iacovelli
• Stacey Ann Isaacson, LCAT ATR-BC
• Barbara Kay Ives, R.N.
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC
• Dany Youssef Jabbour, DPM
• Jack M Mancus MD PC

• Clinical Psychologist in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.