Organization
INTEGRATED PSYCH SERVICES, PLLC
Active
Other names
Copley Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
EKATERINA ANTONOVA (VP OPERATIONS)
(508) 478-6868
Entity
Organization
Contact information
Practice address
415 BOSTON TPKE STE 101, SHREWSBURY, MA 01545-3414
(508) 478-6868
(508) 473-6065
Mailing address
415 BOSTON TPKE STE 101, SHREWSBURY, MA 01545-3414
(508) 478-6868
(508) 473-6065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
02/20/2021
Last updated
06/23/2025
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