Innvigorate Integrative Wellness Institute

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300340AN Issued in CA

Legal business name

INNVIGORATE INTEGRATIVE WELLNESS INSTITUTE

Practice address

7626 E Saddlehill TRL
Orange, CA 92869-2311

Phone

(206) 473-9768

NPI assigned

Dec 11, 2015

Last updated

Dec 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn P. Rathvon

Title

Director

Phone

(206) 473-9768

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1609241934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MONARCH BAY PLZ",
            "address_2": "STE 118",
            "city": "MONARCH BEACH",
            "state": "CA",
            "postal_code": "926293467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 E SADDLEHILL TRL",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692311",
            "telephone_number": "206-473-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNVIGORATE INTEGRATIVE WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "RATHVON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-473-9768",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "300340AN",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "300340AN",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "300340AN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300340AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Guadalupe Iniestra
• Joshua Iniguez
• Elle Louise Inman
• Innovatemed Medical Group PC
• Innovtech Histopathology Services
• Inpsycht Psychological Services, PC
• Inpsycht Services
• Jula Inrig, MD
• Insite Digestive Health Care
• Institute of Advanced Studies

• Substance Abuse Rehabilitation Facility in Orange, CA
• Providers in Orange, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.