NPIMap

Organization Active NPI

Integral Life Systems Inc

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1831207463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 4910-C NV Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LCS17690 CA

Addresses

Primary practice location

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

Mailing address

11732 Feinberg PL
Las Vegas, NV 89138-1561
Phone (702) 336-2428

Other identifiers 1

IdentifierTypeStateIssuer
1184633349OtherNVINDIVIDUAL NPI AS AN LCSW

National Provider Directory

National Provider Directory

Locations

7351 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 360-4836

10050 Banburry Cross Dr
Ste 130
Las Vegas, NV 89144
Phone (702) 360-4836

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI AS AN LCSW",
            "identifier": "1184633349",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • 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.