Integrative Psychiatry LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

2002-0451 Issued in NM

Legal business name

INTEGRATIVE PSYCHIATRY LLC

Practice address

1925 Aspen Dr Ste 901B
Santa Fe, NM 87505-5569

Phone

(505) 718-6419

NPI assigned

Apr 17, 2011

Organization subpart

No

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

Authorized official

Name

Luigi A Dulanto, MD

Title

Psychiatrist

Phone

(505) 718-6419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302998400000",
    "number": "1467742015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RITO GUICU",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074301",
            "telephone_number": "505-718-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR STE 901B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055569",
            "telephone_number": "505-718-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-17",
        "last_updated": "2011-04-17",
        "status": "A",
        "authorized_official_last_name": "DULANTO",
        "authorized_official_first_name": "LUIGI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "505-718-6419",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": "2002-0451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2011; 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.