Active NPI
Integralis Services LLC
- Psychologist
- Isabela, PR
National Provider Identifier
1811753155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- INTEGRALIS SERVICES LLC
- Practice address
- 121 Ruta 474
Isabela, PR 00662-4023 - Phone
- (939) 323-0563
- NPI assigned
- Feb 26, 2024
- Last updated
- Feb 26, 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
- Omar Antonio Samot, LIC.
- Title
- President
- Phone
- (939) 717-1653
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
121 Ruta 474
Isabela, PR 00662-4023
Mailing address
PO Box 2537
Isabela, PR 00662-9537
Phone (939) 323-0563
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, and the practitioner matching its NPPES authorized official.
-
- Counseling Psychologist
- Isabela, PR
- NPI 1184359804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1811753155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2537",
"city": "ISABELA",
"state": "PR",
"postal_code": "006629537",
"telephone_number": "939-323-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RUTA 474",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624023",
"telephone_number": "939-323-0563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRALIS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-24",
"status": "A",
"authorized_official_last_name": "SAMOT",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "939-717-1653",
"authorized_official_credential": "LIC."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
- Andrea N Herrans Perez, OTD
- Hogar Maria de Isabela, Inc
- Hogar Mi Dulce Estancia LLC
- Hospital Care Management LLC
- Img Hospital Care LLC
- Integrative Health Center LLC
- Integrity Medical Group, Corp
- Iq Consulting Group (iQ Neuroscience Solutions)
- Isabela Dental Clinic
- Isabela Drug Inc (Farmacia Isabela Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.