INTEGRATED THERAPEUTIC SERVICES (NPI# 1194115162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194115162 |
| Entity Type | Organization |
| Organization Name | INTEGRATED THERAPEUTIC SERVICES |
| Practice Address |
55379 29 Palms Hwy Yucca Valley CA 92284-2501 |
| Practice Telephone | 7603654819 |
| Mailing Telephone | 7603654819 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | DR. SARAH RUSHBROOK (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7603654819 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | PSY12146 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053777433 | Integrated Therapeutic Services | Marriage & Family Therapist | 5001 Birch St, Newport Beach, CA 92660-2116 | 2016-01-14 |
| 1073898607 | Integrated Therapeutic Services | Social Worker | 985 Patton St, North Brunswick, NJ 08902-2285 | 2011-10-14 |
| 1073669875 | Integrated Therapeutic Services | Social Worker | 2938 Bayswater Ave, Far Rockaway, NY 11691-1730 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Integrated Therapeutic Services, LLC | 1015 37th Avenue Ct., Suite 102, Greeley, CO 80634 |
| Street Address |
55379 29 PALMS HWY |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1659838415 | Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr | Genetic Counselor, MS | 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 | 2019-02-27 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| Find all providers in zip 92284 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306223516 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 7293 Dumosa Ave., Suite 2, Yucca Valley, CA 92284-3700 | 2015-04-27 |
| 1407294564 | Mental Health Systems, Inc. | Community/Behavioral Health | 58945 Business Center Dr Ste Jp&n, Yucca Valley, CA 92284-7307 | 2013-06-11 |
| 1649758236 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 7281 Dumosa Ave Ste 4, Yucca Valley, CA 92284-3781 | 2018-08-06 |
| 1457731606 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 58471 29 Palms Hwy, Suite 102, Yucca Valley, CA 92284-5818 | 2015-06-03 |
| 1396165809 | Pacific Clinics | Community/Behavioral Health | 58945 Business Center Dr, Suite D & E, Yucca Valley, CA 92284-7307 | 2014-04-23 |
| 1154755890 | Telecare Corp | Community/Behavioral Health | 55475 Santa Fe Trl, Suite 100, Yucca Valley, CA 92284-3117 | 2013-08-29 |
| 1942634670 | Telecare Corp | Community/Behavioral Health | 55475 Santa Fe Trl, Suite 100, Yucca Valley, CA 92284-3117 | 2013-08-29 |
| 1871931717 | San Bernardino County Superintendent of Schools | Community/Behavioral Health | 58967 Business Center Dr, Suites C, D, & E, Yucca Valley, CA 92284-7308 | 2013-06-13 |
| 1235577396 | Mental Health Systems, Inc. | Community/Behavioral Health | 58945 Business Center Dr, Suites J, N, & P, Yucca Valley, CA 92284-7307 | 2013-06-11 |
| 1831477041 | Pacific Clinics | Community/Behavioral Health | 58945 Business Center Dr, Suite D, Yucca Valley, CA 92284-7307 | 2011-07-22 |
| Find all providers in YUCCA VALLEY | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
Please comment or provide details below to improve the information on INTEGRATED THERAPEUTIC SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.