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General NPI Number Information
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NPI Number | 1851278006
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PSYCHIATRY OF AMERICA, PLLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 701 E CATHEDRAL RD STE 45
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City | PHILADELPHIA
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State | PA
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Zip | 19128-2128
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Country | US
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Telephone | 888-790-0929
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Fax |
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Provider Business Mailing Address
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Address Line | 327 ROOSEVELT ST
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City | BRISTOL
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State | PA
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Zip | 19007-4315
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Country | US
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Telephone | 845-791-0049
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | MR. CHRISTOPHER CLARK
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Credential |
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Telephone | 845-791-0049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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