Organization Active NPI

Integrative Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond, VA
National Provider Identifier
1831410109
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0904007270 Issued in VA
Legal business name
INTEGRATIVE PSYCHOTHERAPY
Practice address
3520 Mayland CT
B
Richmond, VA 23233-1421
Phone
(804) 754-5814
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Ms. Ruth Davison Baldwin, LCSW, RNNPI 1710217526
Title
Sole Proprietor
Phone
(804) 754-5814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0904007270 VA Primary

Addresses

Primary practice location

3520 Mayland CT
B
Richmond, VA 23233-1421

Mailing address

3520 Mayland CT
B
Richmond, VA 23233-1421
Phone (804) 754-5814

Other identifiers 1

IdentifierTypeStateIssuer
1710217526OtherVATYPE 1 NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000101 VA Part B Supplier - Clinic/Group Practice 9931384294 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory

Locations

8545 Patterson Ave
Ste 102
Henrico, VA 23229
Phone (804) 338-6286

3520 Mayland Ct
#B
Richmond, VA 23233
Phone (804) 338-6286

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": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1831410109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 MAYLAND CT",
            "address_2": "B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331421",
            "telephone_number": "804-754-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 MAYLAND CT",
            "address_2": "B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331421",
            "telephone_number": "804-754-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "DAVISON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "804-754-5814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0904007270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1710217526",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.