INTEGRATIVE PSYCHOLOGICAL AND SOCIAL SERVICES (NPI# 1114344074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114344074 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PSYCHOLOGICAL AND SOCIAL SERVICES |
| Practice Address |
5019 Grove St Suite 102 Marysville WA 98270-4487 |
| Mailing Address |
5019 Grove St Suite 102 Marysville WA 98270 |
| Practice Telephone | 3603480205 |
| Practice Fax Number | 3606919887 |
| Mailing Telephone | 3603480205 |
| Mailing Fax Number | 3606919887 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | DR. NICOLE C WINTERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3603480205 |
| Authorized Official Credential | LICSW, PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MC60425258 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY60195906 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60412214 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437515442 | Integrative Psychological and Social Services | Psychologist | 21701 76th Ave W, Suite 302, Edmonds, WA 98026 | 2016-01-06 |
| Street Address |
5019 GROVE ST SUITE 102 |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-4487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073705075 | Kristina D Coyle | Social Worker | 5019 Grove St, Suite 102, Marysville, WA 98270-4487 | 2007-08-14 |
| 1548703366 | Candice Dawn Patterson | Counselor | 5019 Grove St, 103a, Marysville, WA 98270-4487 | 2016-11-28 |
| 1780134312 | New Life Addiction and Recovery Services | Counselor | 5019 Grove St, 103a, Marysville, WA 98270-4487 | 2016-10-06 |
| 1316373962 | Henry Joseph Chiasson | Psychologist | 5019 Grove St, Suite 102, Marysville, WA 98270-4487 | 2013-09-15 |
| 1518391606 | Karen Jean West | Counselor | 5019 Grove St, Marysville, WA 98270-4487 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774140 | Darius Deandre Moseley | Counselor | 1502 Buchanan St, Marysville, CA 95901-4629 | 2020-03-12 |
| 1821629577 | Andrea Shively | Counselor | 500 Olive St Ste 18, Marysville, CA 95901-5637 | 2020-01-31 |
| 1033680277 | Elrica Michelle Dy Po | Counselor | 4308 76th St. Ne, Marysville, WA 98270-3720 | 2018-12-16 |
| 1912489402 | Maria Josefa Abella Sloan II | Counselor | 1108 Alder Ave, Marysville, WA 98270-4320 | 2018-08-31 |
| 1144720475 | Deborah Paxton Kukahiko | Counselor | 1720 Grove St, Marysville, WA 98270-4328 | 2018-02-13 |
| 1265962435 | Bryan Eugene Skiles | Counselor | 1106 Columbia Ave Ste 150, Marysville, WA 98270-4347 | 2017-06-19 |
| 1003260225 | Jaime Werner | Counselor | 4412 149th St Ne, Marysville, WA 98271-8976 | 2016-04-14 |
| 1245603117 | Jory Cooper | Counselor | 12601 54th Ave Ne, Marysville, WA 98271-9003 | 2015-11-02 |
| 1104213925 | Wings Enrichment Center | Counselor | 729 S Walnut St, Marysville, OH 43040-1643 | 2015-04-20 |
| 1134516149 | Ring Counseling Services, LLC | Counselor | 1326 5th St, Suite C1a, Marysville, WA 98270-4517 | 2015-04-17 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
Please comment or provide details below to improve the information on INTEGRATIVE PSYCHOLOGICAL AND SOCIAL 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.