1700683430 NPI number — INTEGRATIVE PSYCHIATRY & WELLNESS, PROFESSIONAL NURSING CORPERATION

Table of content: JAMES D'AGOSTINO MD (NPI 1669438685)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700683430 NPI number — INTEGRATIVE PSYCHIATRY & WELLNESS, PROFESSIONAL NURSING CORPERATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRATIVE PSYCHIATRY & WELLNESS, PROFESSIONAL NURSING CORPERATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700683430
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23986 ALISO CREEK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAGUNA NIGUEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92677-3908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-259-5834
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 LEON
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALISO VIEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92656-5261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-274-8610
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2025

Additional Information

Authorized Official

Authorized Official Last Name:
SHADMANI
Authorized Official First Name:
SHAHRZAD
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO, PMHNP
Authorized Official Telephone Number:
909-274-8610

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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