Active NPI
Integral Psychiatry & Counseling
- Psychiatry Physician
- Fresno, CA
National Provider Identifier
1225787682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- INTEGRAL PSYCHIATRY & COUNSELING
- Practice address
- 5464 N Palm Ave Ste B
Fresno, CA 93704-1946 - Phone
- (559) 943-3078
- NPI assigned
- Mar 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaylene Booth
- Title
- Billing
- Phone
- (805) 441-8398
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
5464 N Palm Ave Ste B
Fresno, CA 93704-1946
Mailing address
5464 N Palm Ave Ste B
Fresno, CA 93704-1946
Phone (559) 943-3078
National Provider Directory
National Provider DirectoryLocations
5464 N Palm Ave
Ste B
Fresno, CA 93704
Phone (559) 908-0925
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Fresno, CA
- NPI 1629203104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647907200000",
"number": "1225787682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5464 N PALM AVE STE B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041946",
"telephone_number": "559-943-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5464 N PALM AVE STE B",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041946",
"telephone_number": "559-943-3078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRAL PSYCHIATRY & COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A",
"authorized_official_last_name": "BOOTH",
"authorized_official_first_name": "JAYLENE",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "805-441-8398"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Inspire Psychological Services Inc
- Inspired Homecare LLC
- Integra Health & Wellness, a Professional Nursing Corporation
- Integra LLC
- Integral Community Solutions Institute
- Integrated Discharge Team
- Ann Marie Interiano, RAS
- Internal Medicine Associates of Fresno
- Internal Medicine Cardiology Medical Clinic, Inc
- Internal Medicine Specialists Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.