Institute for Integrated Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INSTITUTE FOR INTEGRATED BEHAVIORAL HEALTH, LLC

Practice address

21033 Pine Knot LN
Land O Lakes, FL 34637-7827

Phone

(919) 339-8611

Fax

(919) 339-8611

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Vanda Michel, LCSW

Title

Member

Phone

(919) 339-8611

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1861904419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21033 PINE KNOT LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377827",
            "telephone_number": "919-339-8611",
            "fax_number": "919-339-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21033 PINE KNOT LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377827",
            "telephone_number": "919-339-8611",
            "fax_number": "919-339-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR INTEGRATED BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "VANDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-339-8611",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela O Iacobucci
• Ahmed Iglesias, MS, ED.S, BCBA
• Evelin Igus
• Fran Imbert, PT, DPT, ATC/L
• Jami Inhofer
• J & D Integrated Health
• Francesca D Jackson
• Melissa Odette Vega Jackson, OTR/L
• Mikaela Jackson
• Shannon Rhiann Jackson, M.S CCC, SLP

• Community/Behavioral Health Agency in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.