INTEGRATIVE PSYCHIATRY LLC NPI 1063051472

NPI Information

  • NPI: 1063051472
  • Provider Name: INTEGRATIVE PSYCHIATRY, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: INTEGRATIVE PSYCHIATRY
  • Address: 20324 VETERANS DR STE 104
    ELKHORN, NE
    ZIP 68022
  • Phone: (402) 933-5700

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NPI Details

INTEGRATIVE PSYCHIATRY, LLC is a psychiatric/mental health nurse practitioner in Elkhorn, NE. INTEGRATIVE PSYCHIATRY, LLC NPI is 1063051472. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Integrative Psychiatry.

The provider's business location address is:

20324 VETERANS DR STE 104
ELKHORN, NE
ZIP 68022-552
Phone: (402) 933-5700
Fax: (402) 933-9998

The provider's authorized official is Macy Kasperbauer .
The authorized official title is Ceo and has the following contact phone number (402) 933-5700.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 4/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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