INTEGRA LLC NPI 1144074527

NPI Information

  • NPI: 1144074527
  • Provider Name: INTEGRA LLC
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 1911 N FINE AVE
    FRESNO, CA
    ZIP 93727
  • Phone: (559) 813-0461

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NPI Details

INTEGRA LLC is an intellectual and developmental disabilities in Fresno, CA. INTEGRA LLC NPI is 1144074527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1911 N FINE AVE
FRESNO, CA
ZIP 93727-510
Phone: (559) 813-0461

The provider's authorized official is Mitchel Casados .
The authorized official title is Ceo and has the following contact phone number (559) 813-0461.

The enumeration date for this NPI number is 4/12/2024 and was last updated on 4/12/2024.

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
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4103TF0200XPsychologistForensicNo
5103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes
6103TS0200XPsychologistSchoolNo

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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