Integrated Care Group LLC
NPI 1154097269 · Psychiatry Physician · Smithtown, NY
Integrated Care Group LLC is a Psychiatry Physician organization in Smithtown, NY (NPI 1154097269).
Provider details
- NPI number
- 1154097269
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rose Peterson, Administrator(631) 209-4255
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2021-08-18
- Certified
- 2021-08-17
Frequently asked questions
- What is Integrated Care Group LLC's NPI number?
- Integrated Care Group LLC's National Provider Identifier (NPI) is 1154097269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Care Group LLC?
- Integrated Care Group LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Care Group LLC located?
- Integrated Care Group LLC's practice location on file with NPPES is 363 Route 111 Ste 107, Smithtown, NY 11787-4750.
- What is Integrated Care Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Care Group LLC is (631) 209-4255.
- Who is the authorized official for Integrated Care Group LLC?
- The authorized official listed on Integrated Care Group LLC's NPPES record is Rose Peterson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Care Group LLC's NPI active?
- Yes — Integrated Care Group LLC's NPI (1154097269) is active in the NPPES registry as of the last update on 2021-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.