INTEGRATIVE PSYCHOLOGICAL PROFESSIONAL SERVICE, PLLC - NPI 1124762455

Q: What is Integrative Psychological Professional Service, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Integrative Psychological Professional Service, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE PSYCHOLOGICAL PROFESSIONAL SERVICE, PLLC (NPI 1124762455) is a healthcare organization registered as a clinical in New City, New York and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Mahwah and lists Chanelle Richards, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1124762455

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameINTEGRATIVE PSYCHOLOGICAL PROFESSIONAL SERVICE, PLLC

Location Address3 E EVERGREEN RDNew City, NY 10956-5101

Mailing Address2 Nelson LnCongers, NY 10920-1109 · (718) 541-6453

Phone(845) 579-5728

Fax(845) 845-3357

Organization SubpartNo

Authorized OfficialChanelle RichardsOwner/psychologist · (845) 579-5728

Enumeration DateApril 22, 2022

NPPES CertifiedApril 22, 2022

✔ NPI 1124762455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3 E EVERGREEN RD, New City, NY 10956

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Secondary Practice Location 1

Location 11 International BlvdMahwah, NJ 07495-0027 · Phone (845) 579-5728 · Fax (845) 335-7097

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCINE BAILEY MHC-I

Counselor (Mental Health)