Organization
IVYSTAR INTEGRATED HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE NJERI DNP (OWNER/PROVIDER)
(781) 632-6829
Entity
Organization
Contact information
Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(509) 768-2249
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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