# INTEGRATIVE PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063051472
- **Authorized official:** MACY KASPERBAUER PMHNP-BC (CEO)
- **Authorized official phone:** (402) 933-5700

## Contact information

- **Practice address:** 20324 VETERANS DR STE 104, ELKHORN, NE 68022-3552
- **Practice address phone:** (402) 933-5700
- **Practice address fax:** (402) 933-9998
- **Mailing address:** 20324 VETERANS DR STE 104, ELKHORN, NE 68022-3552
- **Mailing address phone:** (402) 933-5700
- **Mailing address fax:** (402) 933-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2020
- **Last updated:** 04/07/2020