Provider Demographics
NPI:1750154829
Name:INTEGRITY PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:INTEGRITY PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:800-277-4680
Mailing Address - Street 1:1110 SOUTH AVE STE 404
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3411
Mailing Address - Country:US
Mailing Address - Phone:800-277-4680
Mailing Address - Fax:888-556-9797
Practice Address - Street 1:1110 SOUTH AVE STE 404
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3411
Practice Address - Country:US
Practice Address - Phone:800-277-4680
Practice Address - Fax:888-556-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty