Provider Demographics
NPI:1457131435
Name:INTEGRATED NEUROPSYCH LLC
Entity type:Organization
Organization Name:INTEGRATED NEUROPSYCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-396-0824
Mailing Address - Street 1:2301 WILTON DR STE C3
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1204
Mailing Address - Country:US
Mailing Address - Phone:954-396-0824
Mailing Address - Fax:954-302-1837
Practice Address - Street 1:2301 WILTON DR STE C3
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1204
Practice Address - Country:US
Practice Address - Phone:954-396-0824
Practice Address - Fax:954-302-1837
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TMS THERAPEUTIC SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty