Organization Active NPI

Integrated Psych Services, PLLC

Doing business as Copley Healthcare

  • Psychiatry Physician
  • Shrewsbury, MA
National Provider Identifier
1841883873
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTEGRATED PSYCH SERVICES, PLLC
Doing business as
Copley Healthcare
Practice address
415 Boston Tpke Ste 101
Shrewsbury, MA 01545-3414
Phone
(508) 478-6868
Fax
(508) 473-6065
NPI assigned
Feb 20, 2021
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Ekaterina Antonova
Title
VP Operations
Phone
(508) 478-6868

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU
Neurodevelopmental Disabilities Physician 2084P0005X NU
Psychiatry Physician 2084P0800X NU Primary
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU

Addresses

Primary practice location

415 Boston Tpke Ste 101
Shrewsbury, MA 01545-3414

Mailing address

415 Boston Tpke Ste 101
Shrewsbury, MA 01545-3414
Phone (508) 478-6868

Other names 1

  • Copley Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

67 Union St
Ste 107
Natick, MA 01760
Phone (206) 909-7513

415 Boston Tpke
Ste 101
Shrewsbury, MA 01545
Phone (508) 478-6868

415 Boston Tpke
Ste 105
Shrewsbury, MA 01545
Phone (508) 845-8200

415 Boston Tpke
Ste 105101
Shrewsbury, MA 01545
Phone (508) 548-6868

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1841883873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 101",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453414",
            "telephone_number": "508-478-6868",
            "fax_number": "508-473-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 101",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453414",
            "telephone_number": "508-478-6868",
            "fax_number": "508-473-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "ANTONOVA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "508-478-6868"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copley Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.