INTEGRATED PSYCHIATRY INC. NPI 1104330570

NPI Information

  • NPI: 1104330570
  • Provider Name: INTEGRATED PSYCHIATRY, INC.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 25000 AVENUE STANFORD STE 173
    VALENCIA, CA
    ZIP 91355
  • Phone: (818) 927-0688

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NPI Details

INTEGRATED PSYCHIATRY, INC. is a child and adolescent psychiatry psychiatry neurology in Valencia, CA. The provider is 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. INTEGRATED PSYCHIATRY, INC. NPI is 1104330570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25000 AVENUE STANFORD STE 173
VALENCIA, CA
ZIP 91355-596
Phone: (818) 927-0688
Fax: (818) 888-5982

The provider's authorized official is Lourdes Grayson .
The authorized official title is President and has the following contact phone number (818) 927-0688.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 2/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineA111804CALIFORNIANo
22084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesA111804CALIFORNIANo
32084P0800XPsychiatry & NeurologyPsychiatryA111804CALIFORNIANo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA111804CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11851523955MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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