Healthcare Provider Details

I. General information

NPI: 1184557167
Provider Name (Legal Business Name): INTEGRATIVE PSYCHIATRY COLLABORATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 FRANKLIN ST
MORRISTOWN NJ
07960-8635
US

IV. Provider business mailing address

971 US HIGHWAY 202 N STE R
BRANCHBURG NJ
08876-3757
US

V. Phone/Fax

Practice location:
  • Phone: 347-669-3832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PERIEL SHAPIRO
Title or Position: CO-FOUNDER
Credential: MD
Phone: 347-669-3832