Integrative Psychological Services, P.A.

LBN: Integrative Psychological Services, P.A.
Integrative Psychological Services, P.A. is an health care organization with primary practice located at 10480 Perkins Ave N , Stillwater MN 55082-9273. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Integrative Psychological Services, P.A. can be contacted via phone (651) 357-3216, or through Freitag, Mary Genevieve via phone (651) 357-3216.

Contact Information

Primary practice address
10480 Perkins Ave N Stillwater MN 55082-9273
Phone: (651) 357-3216
Fax: (651) 430-8085
Website:
Map and Directions
Authorized official contact:
Name: Freitag, Mary Genevieve PSY.D., L.P.
Phone: (651) 357-3216

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4319 Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1548465883
LBN Legal business name Integrative Psychological Services, P.A.
DBA Doing business as
Authorized official Freitag, Mary Genevieve PSY.D., L.P.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Nov 1st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548465883 NPPES
Minnesota Other 74G37FR MENTAL HEALTH
Minnesota Other 028H0HA MENTAL HEALTH
Minnesota Other HP33776 MENTAL HEALTH
Minnesota Other 103T00000X MENTAL HEALTH
Minnesota Other 130952 MENTAL HEALTH
Minnesota MEDICAID 0492456 MENTAL HEALTH
Minnesota Other 1028022 MENTAL HEALTH
Minnesota Other 1382591 MENTAL HEALTH
Minnesota Other 61-57516 MENTAL HEALTH

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