Provider Demographics
NPI:1215220900
Name:INTEGRATIVE PSYCHOLOGY
Entity Type:Organization
Organization Name:INTEGRATIVE PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEATING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:561-859-6767
Mailing Address - Street 1:550 SE 6TH AVE # 200K
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5306
Mailing Address - Country:US
Mailing Address - Phone:561-859-6767
Mailing Address - Fax:561-637-8210
Practice Address - Street 1:604 NE VENEZIA LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-5213
Practice Address - Country:US
Practice Address - Phone:561-859-6767
Practice Address - Fax:561-637-8210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8234103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty