Organization Active NPI

CP Integrative Psychiatry, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Chesterton, IN
National Provider Identifier
1891531513
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
CP INTEGRATIVE PSYCHIATRY, LLC
Practice address
350 Indian Boundary Rd Ste B
Chesterton, IN 46304-1511
Phone
(219) 508-2947
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Christine Paquin, DNP, RN, PMHCNS-BCNPI 1346341286
Title
Owner
Phone
(219) 508-2947

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
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

350 Indian Boundary Rd Ste B
Chesterton, IN 46304-1511

Mailing address

2963 Brisbane Dr
Valparaiso, IN 46385-0041
Phone (219) 508-2947

National Provider Directory

National Provider Directory

Locations

350 Indian Boundary Rd
Ste B
Chesterton, IN 46304
Phone (219) 508-2947

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1891531513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 BRISBANE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463850041",
            "telephone_number": "219-508-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 INDIAN BOUNDARY RD STE B",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041511",
            "telephone_number": "219-508-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP INTEGRATIVE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "PAQUIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-508-2947",
        "authorized_official_credential": "DNP, RN, PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.