Intraspectus, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

005553 Issued in CT

Legal business name

INTRASPECTUS, LLC

Practice address

93 Lyon St
New Haven, CT 06511-4925

Phone

(203) 676-0880

NPI assigned

Feb 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Paul Kerekes, MSSW, LCSWNPI 1215098041

Title

Managing Member

Phone

(203) 676-0880

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Jeffrey Paul Kerekes, MSSW, LCSW

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1215098041
  NPD (past) Authorized official

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942274618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 LYON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114925",
            "telephone_number": "203-676-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 LYON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114925",
            "telephone_number": "203-676-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRASPECTUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEREKES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-676-0880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "005553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "140005553CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "333779",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integral Health, LLC (Integral Health Associates)
• Integrated Bilingual Counseling
• Integrated Medical of New Haven, LLC
• Integrated Wellness Group, LLC
• Interpace Diagnostics Lab, Inc.
• Silvio Edward Inzucchi, MD
• Costin Nicolae Ionescu, M.D. PH.D
• Bik-Yin Miranda Ip, M.D.
• Rebecca Ann Ipek
• Carmen Iris Ippolito, CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Haven, CT
• Providers in New Haven, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.