Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Psychological Services, PA

Organization Psychologist · NPI 1548465883

Integrative Psychological Services, PA is a Psychologist in Stillwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10480 Perkins Ave N
Stillwater, MN 55082-9273
Phone: (651) 357-3216
Fax: (651) 430-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP4319 (MN)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1548465883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Freitag — Licensed Clinical Psychologist · (651) 357-3216
NPI enumeratedJune 18, 2007
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address10480 Perkins Ave N, Stillwater, MN 55082-9273

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