| Integrated Minds Psychological Services, Inc | |
|
3625 E Thousand Oaks Blvd Ste 209 Westlake Village CA 91362-3566 | |
| (818) 645-3337 | |
| Not Available |
| Full Name | Integrated Minds Psychological Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3625 E Thousand Oaks Blvd Ste 209, Westlake Village, California |
| Authorized Official Name and Position | Charles F Kairys (PRESIDENT) |
| Authorized Official Contact | 8186453337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Minds Psychological Services, Inc 3625 E Thousand Oaks Blvd Ste 209 Westlake Village CA 91362-3566 Ph: (818) 645-3337 | Integrated Minds Psychological Services, Inc 3625 E Thousand Oaks Blvd Ste 209 Westlake Village CA 91362-3566 Ph: (818) 645-3337 |
| NPI Number | 1255870382 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 5395087860 |
|---|---|
| Medicare Enrollment ID | O20190502001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255870382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0814X | Psychologist - Psychoanalysis | PSY24995 (California) | Primary |
| Provider Name | Maryann Kairys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659567030 PECOS PAC ID: 9335362219 Enrollment ID: I20140521002198 |
| Provider Name | Charles F Kairys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396935698 PECOS PAC ID: 6709191182 Enrollment ID: I20150813011072 |
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