Integral Life Systems Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4910-C Issued in NV

Legal business name

INTEGRAL LIFE SYSTEMS INC

Practice address

2580 Montessouri St
Suite 101
Las Vegas, NV 89117-3066

Phone

(702) 947-4749

Fax

(702) 256-2295

NPI assigned

Aug 25, 2006

Last updated

Aug 22, 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

Patrick Ross Scott, LCSW

Title

President

Phone

(702) 336-2428

Specialties & licenses 2

Addresses

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.

• Niles E Strohl, MFTI

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1356573901
  NPD (past)
• Melissa Nan Tishk, MFT INTERN

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1538480009
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831207463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11732 FEINBERG PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381561",
            "telephone_number": "702-336-2428",
            "fax_number": "702-562-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 MONTESSOURI ST",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173066",
            "telephone_number": "702-947-4749",
            "fax_number": "702-256-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL LIFE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-336-2428",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4910-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.