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HOLISTIC INTEGRATIVE PSYCHIATRY CORP NPI 1336719178


NPI Information

NPI: 1336719178
Provider Name: HOLISTIC INTEGRATIVE PSYCHIATRY CORP
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1980 KETTNER BLVD APT 237
SAN DIEGO, CA
ZIP 92101
Phone: (303) 444-6800
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HOLISTIC INTEGRATIVE PSYCHIATRY CORP is an adult mental health clinic center in San Diego, 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 adults. HOLISTIC INTEGRATIVE PSYCHIATRY CORP NPI is 1336719178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1980 KETTNER BLVD APT 237
SAN DIEGO, CA
ZIP 92101-256
Phone: (303) 444-6800
Fax: (303) 496-6802

The provider's authorized official is Donna Marie Grandi-nikander .
The authorized official title is Owner and has the following contact phone number (303) 444-6800.

The enumeration date for this NPI number is 6/24/2021 and was last updated on 8/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthYes

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: 4/28/2024

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