MEDICARE: INTEGRATED SOMATIC PSYCHIATRY, NURSING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1952227050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED SOMATIC PSYCHIATRY, NURSING CORPORATION

Provider Business Mailing Address
First Line	:	1035 SUNCAST LN STE 120
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9339
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 SUNCAST LN STE 120
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9339
Country	:	US
Telephone Number	:	315-547-0502
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA RUSHING
Credential	:
Telephone Number	:	315-547-0502

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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