Integrations, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005578 Issued in IL

Legal business name

INTEGRATIONS, INC

Practice address

24W788 75TH St
Naperville, IL 60565-1684

Phone

(630) 778-1055

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shellie Willet Kruchko, PHD

Title

President

Phone

(630) 778-1055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1932648136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 SUNSET AVE",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605257408",
            "telephone_number": "630-778-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W788 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651684",
            "telephone_number": "630-778-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "KRUCHKO",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "WILLET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-778-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Naperville, IL
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• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.