Organization Active NPI

Holistic Psych Care & Integrative Wellness LLC

  • Health Service Clinic/Center
  • San Rafael, CA
National Provider Identifier
1427773571
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HOLISTIC PSYCH CARE & INTEGRATIVE WELLNESS LLC
Practice address
4040 Civic Center Dr Ste 200
San Rafael, CA 94903-4187
Phone
(415) 797-7443
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Salinger, FNP, PMHNP, AHN,APRNNPI 1053610980
Title
Director
Phone
(888) 310-1808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4040 Civic Center Dr Ste 200
San Rafael, CA 94903-4187

Mailing address

1011 Surrey Lane
BLDG 200
Flower Mound, TX 75022
Phone (888) 310-1808

Other practice location 1

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Phone (888) 310-1808

Other practice location 2

3597 E Monarch Sky Ln Ste 240
Meridian, ID 83646-1055
Phone (888) 310-1808

Other practice location 3

1011 Surrey Lane
bldg 200
Flower Mound, TX 75022
Phone (888) 310-1808

Other names 1

  • Holos Health Doing business as

National Provider Directory

National Provider Directory

Locations

15333 N Pima Rd
Ste 305
Scottsdale, AZ 85260
Phone (480) 225-3236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1427773571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SURREY LANE",
            "address_2": "BLDG 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 CIVIC CENTER DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034187",
            "telephone_number": "415-797-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15333 N Pima Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602717",
            "country_code": "US",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3597 E Monarch Sky Ln Ste 240",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461055",
            "country_code": "US",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Surrey Lane",
            "address_2": "bldg 200",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "75022",
            "country_code": "US",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC PSYCH CARE & INTEGRATIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "SALINGER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-310-1808",
        "authorized_official_credential": "FNP, PMHNP, AHN,APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holos Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.