Organization Active NPI

Integrated Community Services

  • Case Management Agency
  • San Rafael, CA
National Provider Identifier
1992849517
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
40679953 Issued in CA
Legal business name
INTEGRATED COMMUNITY SERVICES
Practice address
3020 Kerner Blvd
Suite a
San Rafael, CA 94901-5444
Phone
(415) 455-8481
Fax
(415) 455-8483
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna Lemmon, M.S.
Title
Executive Director
Phone
(415) 455-8481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 40679953 CA Primary

Addresses

Primary practice location

3020 Kerner Blvd
Suite a
San Rafael, CA 94901-5444

Mailing address

3020 Kerner Blvd
Suite a
San Rafael, CA 94901-5444
Phone (415) 455-8481

National Provider Directory

National Provider Directory

Locations

3020 Kerner Blvd
Ste A
San Rafael, CA 94901
Phone (415) 455-8481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992849517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 KERNER BLVD",
            "address_2": "SUITE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015444",
            "telephone_number": "415-455-8481",
            "fax_number": "415-455-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 KERNER BLVD",
            "address_2": "SUITE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015444",
            "telephone_number": "415-455-8481",
            "fax_number": "415-455-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEMMON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-455-8481",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "40679953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • 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.