| Integrated Psychiatry, Inc. | |
|
25000 Avenue Stanford Ste 173 Valencia CA 91355-4596 | |
| (818) 927-0688 | |
| (818) 888-5982 |
| Full Name | Integrated Psychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25000 Avenue Stanford Ste 173, Valencia, California |
| Authorized Official Name and Position | Lourdes Grayson (PRESIDENT) |
| Authorized Official Contact | 8189270688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychiatry, Inc. 27943 Seco Canyon Rd # 573 Santa Clarita CA 91350-3872 Ph: (818) 927-0688 | Integrated Psychiatry, Inc. 25000 Avenue Stanford Ste 173 Valencia CA 91355-4596 Ph: (818) 927-0688 |
| NPI Number | 1104330570 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Medicare PECOS PAC ID | 5597192781 |
|---|---|
| Medicare Enrollment ID | O20200228000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104330570 | NPI | - | NPPES |
| 1851523955 | Medicaid | NY |
| Provider Name | Lourdes Grayson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851523955 PECOS PAC ID: 1254526049 Enrollment ID: I20101105000664 |
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