INTEGRATED MIND INSTITUTE NPI 1306072426

NPI Information

  • NPI: 1306072426
  • Provider Name: INTEGRATED MIND INSTITUTE
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 24949 PROSPECT AVE
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (909) 796-4774

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NPI Details

INTEGRATED MIND INSTITUTE is an adolescent and children mental health clinic center in Loma Linda, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. INTEGRATED MIND INSTITUTE NPI is 1306072426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24949 PROSPECT AVE
LOMA LINDA, CA
ZIP 92354-811
Phone: (909) 796-4774
Fax: (909) 796-2774

The provider's authorized official is Warris Richard Walayat .
The authorized official title is Chairman and has the following contact phone number (909) 796-4774.

The enumeration date for this NPI number is 6/3/2009 and was last updated on 3/12/2012.

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
12084P0800XPsychiatry & NeurologyPsychiatryA97080CALIFORNIANo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthA97080CALIFORNIAYes

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
100A970800MEDICAIDCALIFORNIA
200A970800MEDICARE PINCALIFORNIA
3I62534MEDICARE UPIN

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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