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INTEGRATIVE PAIN AND PSYCH CARE
NPI 1609382134
Nurse Practitioner - Family in Woodbridge, CT

Active since December 20, 2017
1 BRADLEY RD STE 505, WOODBRIDGE, CT 06525(203) 693-1164(203) 446-5599 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2022, Jun 19, 2020, Jul 7, 2019 and 2 more (5 updates tracked since 2017).

About Integrative Pain And Psych Care NPPES

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

INTEGRATIVE PAIN AND PSYCH CARE (NPI 1609382134) is a healthcare organization registered as a family in Woodbridge, Connecticut and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Waterbury and lists Brian D Pervis, President, as its authorized official.

NPPES Registry Identity

NPI1609382134
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePERVIS ENTERPRISE LLC
Location Address1 BRADLEY RD STE 505Woodbridge, CT 06525-2292
Mailing Address304 S Jones Blvd # 1060Las Vegas, NV 89107-2623 · (203) 693-1164 · Fax (888) 475-7210
Phone(203) 693-1164
Fax(203) 446-5599
Organization SubpartNo
Authorized OfficialBrian D PervisPresident · (203) 693-1164
Enumeration DateDecember 20, 2017
Last NPPES UpdateFebruary 12, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2022
✔ NPI 1609382134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
1 BRADLEY RD STE 505, Woodbridge, CT 06525
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Other Names 1

Doing Business AsIntegrative Pain And Psych Care

Secondary Practice Location 1

Location 1228 Meadow St # 402Waterbury, CT 06702-1807 · Phone (203) 693-1164 · Fax (203) 446-5599

Group Practice 2

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

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

BRIAN PERVIS APRN
Nurse Practitioner (Family)
1 BRADLEY RD STE 505
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 693-1164

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 Pervis Enterprise LLC's NPI number?

The NPI number for Pervis Enterprise LLC is 1609382134. It was assigned to this organization in the NPPES registry on December 20, 2017. The provider is doing business as Integrative Pain And Psych Care.

Where is Pervis Enterprise LLC located?

Pervis Enterprise LLC is located at 1 Bradley Rd Ste 505, Woodbridge, CT 06525. The listed phone number is (203) 693-1164.

What is Pervis Enterprise LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pervis Enterprise LLC was last updated on February 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.