Integrated Psychological Services LLC
NPI 1063163442ActiveOrganization· Psychologist· Paducah, KY
Psychologist in Paducah, Kentucky, registered in NPPES in January 2022. The authorized official on file is Ashton Briauna Shelby, PHD, LP, Owner/Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063163442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2022 |
| Last updated in NPPES | Jan 17, 2022 |
| Certified by provider | Jan 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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