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INTEGRATED CARE GROUP LLC
NPI 1154097269
Psychiatry & Neurology - Psychiatry in Smithtown, NY

Active since August 18, 2021
363 ROUTE 111 STE 107, SMITHTOWN, NY 11787(631) 209-4255(631) 693-3313 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Care Group Llc NPPES

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

INTEGRATED CARE GROUP LLC (NPI 1154097269) is a healthcare organization registered as a psychiatry in Smithtown, New York and active in the NPI registry since August 2021. The organization lists Rose Peterson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154097269
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameINTEGRATED CARE GROUP LLC
Location Address363 ROUTE 111 STE 107Smithtown, NY 11787-4750
Mailing Address363 Route 111 Ste 107aSmithtown, NY 11787-4750 · (631) 209-4255
Phone(631) 209-4255
Fax(631) 693-3313
Organization SubpartNo
Authorized OfficialRose PetersonAdministrator · (631) 209-4255
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 17, 2021
✔ NPI 1154097269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
363 ROUTE 111 STE 107, Smithtown, NY 11787
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Care Group LLC's NPI number?

The NPI number for Integrated Care Group LLC is 1154097269. It was assigned to this organization in the NPPES registry on August 18, 2021.

Where is Integrated Care Group LLC located?

Integrated Care Group LLC is located at 363 Route 111 Ste 107, Smithtown, NY 11787. The listed phone number is (631) 209-4255.

What is Integrated Care Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Integrated Care Group LLC was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.