INTEGRATED PSYCHIATRY, INC. – NPI #1104330570
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

INTEGRATED PSYCHIATRY, INC. is a psychiatry & neurologist located in VALENCIA, CA. NPPES has assigned the NPI number 1104330570 to INTEGRATED PSYCHIATRY, INC. on November 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 6 years ago on Feb 04, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATED PSYCHIATRY, INC. below.

NPI Profile for
INTEGRATED PSYCHIATRY, INC.

NPI Number
1104330570
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATED PSYCHIATRY, INC.
Primary location
25000 AVENUE STANFORD STE 173
VALENCIA, CA 91355-4596
Phone: (818) 927-0688 Fax: (818) 888-5982
2 Other location(s):
28832 Woodside Dr
Santa Clarita, CA 91390-1294
Phone: (818) 927-0688
Fax: (866) 543-9915
801 Seneca St
Ventura, CA 93001-1411
Phone: (805) 653-6434
Mailing address
27943 SECO CANYON RD # 573
SANTA CLARITA, CA 91350-3872
Phone: (818) 927-0688 Fax: (866) 543-9915
Organization Subpart
No
Authorized Official
LOURDES GRAYSON
PRESIDENT
Phone: (818) 927-0688
Updated
Certification Date
Feb 04, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for INTEGRATED PSYCHIATRY, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY1851523955
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)		 CA A111804
2084P0800X
- Psychiatry & Neurology / Psychiatry		 CA A111804
2084P0005X
- Psychiatry & Neurology / Neurodevelopmental Disabilities		 CA A111804
2084A0401X
- Psychiatry & Neurology / Addiction Medicine		 CA A111804

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.