# INTEGRATED PSYCHIATRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104330570
- **Authorized official:** LOURDES GRAYSON MD (PRESIDENT)
- **Authorized official phone:** (818) 927-0688

## Contact information

- **Practice address:** 25000 AVENUE STANFORD STE 173, VALENCIA, CA 91355-4596
- **Practice address phone:** (818) 927-0688
- **Practice address fax:** (818) 888-5982
- **Mailing address:** 27943 SECO CANYON RD \# 573, SANTA CLARITA, CA 91350-3872
- **Mailing address phone:** (818) 927-0688
- **Mailing address fax:** (866) 543-9915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | A111804 | CA | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | A111804 | CA | — |
| 2084P0800X | Psychiatry Physician | A111804 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A111804 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2017
- **Last updated:** 02/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1851523955 | — | NY |
