Active NPI
Center for Integrative Psychology & Wellness Inc
- Clinical Psychologist
- Napa, CA
National Provider Identifier
1497059935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20053
- Legal business name
- CENTER FOR INTEGRATIVE PSYCHOLOGY & WELLNESS INC
- Practice address
- 1040 Main St
#305
Napa, CA 94559-2654 - Phone
- (559) 253-9115
- NPI assigned
- Dec 24, 2010
- 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
- Dr. Lorie T Decarvalho, PH.D., BCETS, FNCCM
- Title
- Founder and President/Ceo
- Phone
- (707) 253-9115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20053 | CA | Primary |
Addresses
Primary practice location
1040 Main St
#305
Napa, CA 94559-2654
Mailing address
PO Box 1932
Hanford, CA 93232-1932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366480915 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1040 Main St
#305
Napa, CA 94559
Phone (559) 253-9115
1040 Main St
Ste 305
Napa, CA 94559
Phone (707) 253-9115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301443200000",
"number": "1497059935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1932",
"city": "HANFORD",
"state": "CA",
"postal_code": "932321932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MAIN ST",
"address_2": "#305",
"city": "NAPA",
"state": "CA",
"postal_code": "945592654",
"telephone_number": "559-253-9115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR INTEGRATIVE PSYCHOLOGY & WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-24",
"last_updated": "2011-03-30",
"status": "A",
"authorized_official_last_name": "DECARVALHO",
"authorized_official_first_name": "LORIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "FOUNDER AND PRESIDENT/CEO",
"authorized_official_telephone_number": "707-253-9115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., BCETS, FNCCM"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366480915",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.