INTEGRATED HEALTH SYSTEMS LLC (NPI# 1295211738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295211738 |
| Entity Type | Organization |
| Organization Name | INTEGRATED HEALTH SYSTEMS LLC |
| Other Organization Name | KENTUCKY CLEANSE CLINIC |
| Practice Address |
645 S Roy Wilkins Ave Ste 300 Louisville KY 40203 |
| Mailing Address |
720 W Broadway Ste 202 Louisville KY 40202-3245 |
| Practice Telephone | 5025610943 |
| Practice Fax Number | 5025610944 |
| Mailing Telephone | 5025610943 |
| Mailing Fax Number | 5025610944 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | ABDUL G BURIDI (CEO) |
| Authorized Official Telephone | 5027735088 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEANSE CLINIC CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
800294 | KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kentucky Cleanse Clinic | Doing Business As Name - Organization |
| Street Address |
645 S ROY WILKINS AVE STE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| 1699053694 | Bobby Farmer | Massage Therapist | 931 South 3rd St., Louisville, KY 40203 | 2011-07-26 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659726628 | Cleanse Clinic, Psc | Psychiatry & Neurology | 9720 Park Plaza Ave, Suite 104, Louisville, KY 40241-2288 | 2016-04-27 |
| 1699092510 | John Maxwell Mccurdy | Psychiatry & Neurology | 2215 Portland Ave, Louisville, KY 40212-1033 | 2010-05-02 |
| 1053511949 | Erika Jaclyn Ruth | Psychiatry & Neurology | 401 E Chestnut St Unit 610, Louisville, KY 40202 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817274 | Kentucky Medical Services Foundation, Inc | Psychiatry & Neurology | 845 Angliana Ave, Lexington, KY 40508-3146 | 2018-10-18 |
| 1013113745 | Steven Lee Thore | Psychiatry & Neurology | 737b North Drive, Hopkinsville, KY 42240 | 2007-06-21 |
| City | LOUISVILLE |
| Zip Code | 40203 |
Please comment or provide details below to improve the information on INTEGRATED HEALTH SYSTEMS LLC.
| 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.