INTEGRATIVE PSYCHOLOGICAL CONSULTANTS, LLC (NPI# 1740794627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740794627 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PSYCHOLOGICAL CONSULTANTS, LLC |
| Practice Address |
2317 International Ln Ste 119 Madison WI 53704-3154 |
| Practice Telephone | 6084678870 |
| Practice Fax Number | 6084676735 |
| Mailing Telephone | 6084678870 |
| Mailing Fax Number | 6084676735 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | DR. LESLEY BAIRD CHAPIN (OWNER) |
| Authorized Official Telephone | 6083029752 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
8396 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3043-57 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2317 INTERNATIONAL LN STE 119 |
| City | MADISON |
| State | WI |
| Zip Code | 53704-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457575524 | Lesley Baird Chapin | Psychologist | 2317 International Ln Ste 119, Madison, WI 53704-3154 | 2007-04-12 |
| 1699329896 | Aaron Brent Dickson-baures | Psychologist | 2317 International Ln Ste 119, Madison, WI 53704-3154 | 2019-07-26 |
| 1609381706 | Nicole Marie Dimond | Social Worker | 2317 International Ln Ste 119, Madison, WI 53704-3154 | 2017-12-11 |
| 1831604032 | Ana Isabel Becerra | Psychologist | 2317 International Ln Ste 119, Madison, WI 53704-3154 | 2017-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1598232548 | Different Minds LLC | Psychologist | 313 Price Pl Ste 109, Madison, WI 53705-3262 | 2018-10-29 |
| 1760967145 | Emily Cahill Forscher | Psychologist | 2801 International Ln, Madison, WI 53704-3119 | 2018-10-01 |
| 1083167944 | Monica Ballard-booth | Psychologist | 331 State St, Suite 300, Madison, WV 25130-1367 | 2016-07-27 |
| 1750758033 | Patricia Humphrey | Psychologist | 4785 Hayes Rd Ste 100, Madison, WI 53704-7364 | 2015-08-21 |
| 1417348046 | Roger Rattan | Psychologist | 516 Troy Dr, Madison, WI 53704-1575 | 2015-02-18 |
| 1427453877 | Forward Psychology Group | Psychologist | 478 Commerce Dr Ste 204, Madison, WI 53719-5099 | 2014-10-28 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on INTEGRATIVE PSYCHOLOGICAL CONSULTANTS, 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.