INTEGRATED HEALTH
NPI 1902089857
Psychologist - Clinical in Southaven, MS

NPI Status: Active since December 14, 2007

Contact Information

5779 GETWELL RD BLDG D3
SOUTHAVEN, MS
ZIP 38672
Phone: (662) 510-6507
Fax: (662) 510-6508

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  • Organization
  • Psychologist
  • Clinical
  • Accepts Insurance

About INTEGRATED HEALTH

This page provides the complete NPI Profile along with additional information for Integrated Health, a provider established in Southaven, Mississippi operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1902089857 assigned on December 2007. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Integrated Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Integrated Health. The authorized official of this NPI record is Emily Thomas Johnson Ph.d. (Owner)

NPI
1902089857
Provider Legal Name
BEHAVIOR, ATTENTION, AND DEVELOPMENTAL DISABILITIES CONSULTANTS, LLC
Other Organization Name
INTEGRATED HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5779 GETWELL RD BLDG D3 SOUTHAVEN, MS 38672
Location Phone
(662) 510-6507
Location Fax
(662) 510-6508
Mailing Address
4628 UNION RD SARDIS, MS 38666
Mailing Phone
(662) 609-4950
Mailing Fax
(662) 510-6508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2007
Last Update Date
02-22-2021
Code Navigator

A clinical psychologist like Integrated Health assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 4628 Union Rd
    Sardis, MS 38666
    (662) 487-3188

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 
3106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EMILY THOMAS JOHNSON PH.D.

Authorized Official Title
OWNER
Authorized Official Phone
(662) 609-4950

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q055944MEDICAID (05)TN 
00634747MEDICAID (05)MS 

Reviews for INTEGRATED HEALTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902089857
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29020818810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 0 + 8 + 1 + 8 + 8 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1902089857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902089857, enumerated in the NPI registry as an "organization" on December 14, 2007

The provider is located at 5779 Getwell Rd Bldg D3 Southaven, Ms 38672 and the phone number is (662) 510-6507

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.