MEDICARE: INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	207Q00000X	Family Medicine Physician
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	251S00000X	Community/Behavioral Health Agency
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841812021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC

Provider Business Mailing Address
First Line	:	800 N SAPODILLA AVE STE 3
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3640
Country	:	US
Telephone Number	:	561-510-0471
Fax Number	:	561-331-2715

Provider Business Practice Location Address
First Line	:	800 N SAPODILLA AVE STE 3
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3640
Country	:	US
Telephone Number	:	561-510-0471
Fax Number	:	561-331-2715

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MONIQUE D BROWN FAUST
Credential	:
Telephone Number	:	561-899-9140

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	02/27/2026

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