Integrated Care Group LLC

Integrated Care Group LLC is a healthcare organization registered as Psychiatry Physician in Smithtown, NY, holding Type 2 (organization) NPI 1154097269 since 2021. The authorized official on file is Rose Peterson, Administrator.

✓ Active NPI ✓ Valid NPI checksum

NPI	1154097269
Entity type	Organization (Type 2)
Legal business name	Integrated Care Group LLC
Practice address	363 ROUTE 111 STE 107, Smithtown, NY, 11787
Phone	6312094255
Fax	6316933313
Enumeration date	2021-08-18
Last updated in NPPES	2021-08-18

Authorized official

Name	Rose Peterson
Title	Administrator
Phone	6312094255

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
2084P0804X	Child & Adolescent Psychiatry Physician	Secondary	—	—
2084P0800X	Psychiatry Physician	Primary	—	—

Copy-ready billing details

Provider: Integrated Care Group LLC
NPI: 1154097269
Taxonomy: 2084P0800X (Psychiatry Physician)
Address: 363 ROUTE 111 STE 107, Smithtown, NY, 11787

Verify this record

Cross-check NPI 1154097269 against the authoritative CMS record: view Integrated Care Group LLC on the official NPPES registry .

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 or validate an NPI number.

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 2026-07-11. Provider record last updated 2021-08-18.