Integrated Psychiatry Incorporated

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9216 Issued in RI

Legal business name

INTEGRATED PSYCHIATRY INCORPORATED

Practice address

663 Atwood Ave
Cranston, RI 02920-5322

Phone

(401) 277-9992

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Maria Gonzalez, MD

Title

President/Owner

Phone

(401) 277-9992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1821256140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NEWMAN AVE",
            "address_2": "SUITE 100",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161945",
            "telephone_number": "401-453-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205322",
            "telephone_number": "401-277-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHIATRY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "401-277-9992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "9216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.