NPIMap

Organization Active NPI

Alberto Souza, PLLC

Doing business as Integrated Psych, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • St George, UT
National Provider Identifier
1972141588
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALBERTO SOUZA, PLLC
Doing business as
Integrated Psych, LLC
Practice address
1664 S Dixie Dr Ste E102
Saint George, UT 84770-7329
Phone
(435) 703-9647
Fax
(435) 703-6003
NPI assigned
Dec 13, 2019
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Alberto W Souza, APRNNPI 1972846384
Title
Psychiatric Nurse Practitioner
Phone
(435) 817-9784

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 Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1664 S Dixie Dr Ste E102
Saint George, UT 84770-7329

Mailing address

1664 S Dixie Dr Ste E102
St George, UT 84770
Phone (435) 703-9647

Other practice location 1

840 Pinnacle Ct Ste 8A
Mesquite, NV 89027-3322
Phone (435) 703-9647

Other names 1

  • Integrated Psych, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200120000856 UT Part B Supplier - Clinic/Group Practice 1254766371 Receives reassigned benefits from 10 practitioners
Practice locations: St George, UT
O20220715000229 NV Part B Supplier - Clinic/Group Practice 1254766371 Receives reassigned benefits from 4 practitioners
Practice locations: Mesquite, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2223031Integrated Psych, LLC1664 S Dixie Dr BLDG E-102, St George, UT 84770Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory

Locations

840 Pinnacle Ct
Ste 8A
Mesquite, NV 89027
Phone (435) 225-1995

1789 N Wedgewood Ln
Ste 1
Cedar City, UT 84721

169 W 2710 South Cir
Ste 201B
St George, UT 84790
Phone (435) 817-9784

6783 S Redwood Rd
Ste 102
West Jordan, UT 84084

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1972141588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Pinnacle Ct Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890273322",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALBERTO SOUZA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "435-817-9784",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Psych, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.