Integrated Self Image Systems, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS13789 Issued in CA

Legal business name

INTEGRATED SELF IMAGE SYSTEMS, INC.

Practice address

9255 Towne Centre Dr
Ste 370
San Diego, CA 92121-3033

Phone

(858) 450-3210

Fax

(858) 458-9767

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Kay Ward, MA, MSWNPI 1790823854

Title

LCSW

Phone

(858) 450-3210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Susan Kay Ward, MA, MSW, LCSW

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1790823854
  Medicare reassignment NPD Authorized official
• Richard Scott Rhodes, PSY.D.

  • Psychologist
  • San Diego, CA
  • NPI 1942385992
  NPD (past)
• Suzanne Marie Simpson, PDH

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1669491106
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881732949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR",
            "address_2": "STE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213033",
            "telephone_number": "858-450-3210",
            "fax_number": "858-458-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR",
            "address_2": "STE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213033",
            "telephone_number": "858-450-3210",
            "fax_number": "858-458-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SELF IMAGE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "858-450-3210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS13789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Care Solutions
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• Integrated Physical Therapy
• Integrated Rehab, Inc
• Integrated Systems Medical Group (Integrated Systems Chiropractic & Wellness Center)
• Integrated Wellness
• Integrative Healing Dynamics
• Integrative Insomnia and Sleep Health Center Inc
• Integrative Medicine Associates PC (Lifescore Medical)

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• 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.
• 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.