Active NPI
Integrative Psychotherapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Richmond, VA
National Provider Identifier
1831410109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 0904007270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ruth Davison Baldwin, LCSW, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710217526 | Other | VA | TYPE 1 NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Goochland, VA
- NPI 1710217526
-
- Clinical Social Worker
- Henrico, VA
- NPI 1457624967
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.