INTEGRATIVE PSYCHOLOGY SERVICES PLLC – Clinical Psychologist, NPI 1730645102
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INTEGRATIVE PSYCHOLOGY SERVICES PLLC
Northwest 92nd Court, Clive, Polk County, Iowa, 50325, United States
CLIVE, IA 503255462
Phone:
Type: Mailing
13375 UNIVERSITY AVE STE 200A
CLIVE, IA 503258261
Phone: (515) 421-8250
Fax: (515) 724-7860
Type: Location
4401 WESTOWN PKWY STE 290
WEST DES MOINES, IA 502666714
Phone: (515) 421-8250
Fax: (515) 724-7860
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (254 days ago).
Enrollment records
1
Earliest due date
2025-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200502000208 | O | Clinic/Group Practice | IA | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50325)
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