| Integrated Psychiatric Services Inc | |
|
100 Broadway North Haven CT 06473-2365 | |
| (203) 234-0365 | |
| Not Available |
| Full Name | Integrated Psychiatric Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Broadway, North Haven, Connecticut |
| Authorized Official Name and Position | Ida Sansone (BILLER) |
| Authorized Official Contact | 2034830469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychiatric Services Inc 100 Broadway North Haven CT 06473-2365 Ph: (203) 234-0365 | Integrated Psychiatric Services Inc 100 Broadway North Haven CT 06473-2365 Ph: (203) 234-0365 |
| NPI Number | 1932350105 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 04/17/2014 |
| Medicare PECOS PAC ID | 5092864371 |
|---|---|
| Medicare Enrollment ID | O20090515000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932350105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | John M Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457583684 PECOS PAC ID: 3870642150 Enrollment ID: I20140616001650 |
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