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Integrative Therapy, Inc.

NPI 1639868524ActiveOrganization· Psychologist, Clinical· Mount Pleasant, SC

Psychologist, Clinical in Mount Pleasant, South Carolina, registered in NPPES in May 2023. The authorized official on file is Raphael Romero, PSYD, President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1639868524
StatusActive
Entity typeOrganization
NPI issuedMay 5, 2023
Last updated in NPPESOct 12, 2023
Certified by providerOct 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X——
Counselor101Y00000X——
Counselor, Mental Health101YM0800X——
Counselor, Pastoral101YP1600X——
Counselor, Professional101YP2500X——
Clinical Neuropsychologist103G00000X——
Psychologist, Clinical Child & Adolescent103TC2200X——
Psychologist, Intellectual & Developmental Disabilities103TM1800X——
Social Worker104100000X——
Marriage & Family Therapist106H00000X——
Early Intervention Provider Agency252Y00000X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Clinic/Center, Adult Mental Health261QM0850X——
Clinic/Center, Adolescent and Children Mental Health261QM0855X——
Religious Nonmedical Health Care Institution282J00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (SC)

Medicare sources and data years

Other clinical psychologists in Mount Pleasant

All 22 clinical psychologists in Mount Pleasant · All clinical psychologists in South Carolina