| Integrated Psych Services, Pllc | |
|
415 Boston Tpke Ste 101 Shrewsbury MA 01545-3414 | |
| (508) 478-6868 | |
| (508) 473-6065 |
| Full Name | Integrated Psych Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 415 Boston Tpke Ste 101, Shrewsbury, Massachusetts |
| Authorized Official Name and Position | Ekaterina Antonova (VP OPERATIONS) |
| Authorized Official Contact | 5084786868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psych Services, Pllc 415 Boston Tpke Ste 101 Shrewsbury MA 01545-3414 Ph: (508) 478-6868 | Integrated Psych Services, Pllc 415 Boston Tpke Ste 101 Shrewsbury MA 01545-3414 Ph: (508) 478-6868 |
| NPI Number | 1841883873 |
|---|---|
| Provider Enumeration Date | 02/20/2021 |
| Last Update Date | 06/23/2025 |
| Certification Date | 06/23/2025 |
| Medicare PECOS PAC ID | 9032512496 |
|---|---|
| Medicare Enrollment ID | O20210722000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841883873 | NPI | - | NPPES |
| Provider Name | Kathryn E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396899001 PECOS PAC ID: 3678755113 Enrollment ID: I20110304000545 |
| Provider Name | Daniel Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295879260 PECOS PAC ID: 7416268370 Enrollment ID: I20150618000896 |
| Provider Name | Helen Macharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053568055 PECOS PAC ID: 7416353511 Enrollment ID: I20210914002727 |
| Provider Name | Marie C Tuffet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467067934 PECOS PAC ID: 1456758127 Enrollment ID: I20210922002190 |
| Provider Name | Jessica Elaine Kehoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992387526 PECOS PAC ID: 6305235508 Enrollment ID: I20211111001973 |
| Provider Name | John F. Mannion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760725 PECOS PAC ID: 3375954027 Enrollment ID: I20211206002235 |
| Provider Name | Jacquelynne M Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043808454 PECOS PAC ID: 8022489228 Enrollment ID: I20230126001574 |
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