NPI Code Detail JSON Logo

1215220900 NPI number — INTEGRATIVE PSYCHOLOGY LLC

NPI Number: 1215220900
Health Care Provider/Practitioner: INTEGRATIVE PSYCHOLOGY LLC

Information about “1215220900” NPI (INTEGRATIVE PSYCHOLOGY LLC) exists in 1215220900 in HTML format HTML  |  1215220900 in plain Text format TXT  |  1215220900 in PDF (Portable Document Format) PDF  |  1215220900 in an XML format XML  formats.

NPI Number : 1215220900 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215220900",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTEGRATIVE PSYCHOLOGY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "616 NE FRANCESCA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOCA RATON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33487-5210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-859-6767",
    "MailingAddressFaxNumber": "561-637-8210",
    "FirstLinePracticeLocationAddress": "550 SE 6TH AVE # 200K",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELRAY BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33483-5306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-859-6767",
    "PracticeLocationAddressFaxNumber": "561-637-8754",
    "EnumerationDate": "05/27/2011",
    "LastUpdateDate": "04/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KEATING",
    "AuthorizedOfficialFirstName": "CARYL",
    "AuthorizedOfficialMiddleName": "A.",
    "AuthorizedOfficialTitle": "LICENSED CLINICAL PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D.",
    "AuthorizedOfficialTelephoneNumber": "561-859-6767",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PY8234",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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