=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497638738
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INTEGRAL PSYCHIATRY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/25/2025
-----------------------------------------------------
Last Update Date | 07/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 921 E MAIN ST
-----------------------------------------------------
City | MARION
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66861-1341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-381-3000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4601 E DOUGLAS AVE STE 150
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67218-1032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-347-7959
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PETER TAULBEE
-----------------------------------------------------
Credential | DNP, APRN
-----------------------------------------------------
Telephone | 816-213-3555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------