Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Integrated Care Group LLC

Psychiatry Physician in Smithtown, NY · enumerated 2021 · authorized official Rose Peterson, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154097269

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Integrated Care Group LLC

Practice address 363 Route 111 Ste 107, Smithtown, NY, 11787

Phone (631) 209-4255

Fax (631) 693-3313

Enumeration date Aug 18, 2021

Last updated in NPPES Aug 18, 2021

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Rose Peterson

Title Administrator

Phone (631) 209-4255

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-18. Verify at npiregistry.cms.hhs.gov.

Where is Integrated Care Group LLC located?

The practice location on file with NPPES is in Smithtown, NY.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-18.