HOLISTIC INTEGRATIVE PSYCHIATRY CORP
NPI 1336719178
Clinic/Center - Adult Mental Health in San Diego, CA

NPI Status: Active since June 24, 2021

Contact Information

1980 KETTNER BLVD APT 237
SAN DIEGO, CA
ZIP 92101
Phone: (303) 444-6800
Fax: (303) 496-6802

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About HOLISTIC INTEGRATIVE PSYCHIATRY CORP

This page provides the complete NPI Profile along with additional information for Holistic Integrative Psychiatry Corp, a provider established in San Diego, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1336719178 assigned on June 2021. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Holistic Integrative Psychiatry Corp operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Donna Marie Grandi-nikander Msn, Fnp (Owner)

NPI
1336719178
Provider Name
HOLISTIC INTEGRATIVE PSYCHIATRY CORP
Entity Type
Organization
Location Address
1980 KETTNER BLVD APT 237 SAN DIEGO, CA 92101
Location Phone
(303) 444-6800
Location Fax
(303) 496-6802
Mailing Address
PO BOX 21150 BOULDER, CO 80308
Mailing Phone
(619) 548-7474
Mailing Fax
(303) 496-6802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2021
Last Update Date
08-17-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA MARIE GRANDI-NIKANDER MSN, FNP

Authorized Official Title
OWNER
Authorized Official Phone
(303) 444-6800

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336719178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236614118114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 1 + 1 + 8 + 1 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1336719178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336719178, enumerated in the NPI registry as an "organization" on June 24, 2021

The provider is located at 1980 Kettner Blvd Apt 237 San Diego, Ca 92101 and the phone number is (303) 444-6800

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on June 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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