Integrative Psychiatric Care PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INTEGRATIVE PSYCHIATRIC CARE PLLC

Practice address

2800 Saint Leo St
Greensboro, NC 27405-3382

Phone

(336) 676-4060

Fax

(336) 676-5017

NPI assigned

Sep 19, 2020

Organization subpart

No

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

Authorized official

Name

Samantha Edeh

Title

Clinical Administrative Manager

Phone

(336) 676-4060

Specialties & licenses 1

Addresses

Other names 1

• INTEGRATIVE PSYCHOLOGICAL MEDICINE Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Onoriode Sylvester Edeh, M.D

  • Child & Adolescent Psychiatry Physician
  • Greensboro, NC
  • NPI 1932545167
  Medicare reassignment NPD

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1699381269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SAINT LEO ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053382",
            "telephone_number": "336-676-4060",
            "fax_number": "336-676-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SAINT LEO ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053382",
            "telephone_number": "336-676-4060",
            "fax_number": "336-676-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "EDEH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "336-676-4060"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATIVE PSYCHOLOGICAL MEDICINE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatry Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.