Provider Demographics
NPI:1407219405
Name:THE CENTER FOR INTEGRAL PSYCHOLOGY
Entity Type:Organization
Organization Name:THE CENTER FOR INTEGRAL PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCHACATANO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-607-6995
Mailing Address - Street 1:1000 S FREMONT AVE UNIT 60
Mailing Address - Street 2:A-1, 1219
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-8886
Mailing Address - Country:US
Mailing Address - Phone:626-607-6995
Mailing Address - Fax:
Practice Address - Street 1:1000 S FREMONT AVE UNIT 60
Practice Address - Street 2:A-1, 1219
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8886
Practice Address - Country:US
Practice Address - Phone:626-607-6995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 21881251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health