Provider Demographics
NPI:1164199139
Name:INTEGRATIVE PSYCHOLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:INTEGRATIVE PSYCHOLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:NEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:POURSHAHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-309-3338
Mailing Address - Street 1:21243 VENTURA BLVD STE 243
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2168
Mailing Address - Country:US
Mailing Address - Phone:661-309-3338
Mailing Address - Fax:
Practice Address - Street 1:21243 VENTURA BLVD STE 243
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2168
Practice Address - Country:US
Practice Address - Phone:661-309-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty