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INTEGRA LLC
NPI 1144074527
Psychologist - Intellectual and Developmental Disabilities in Fresno, CA

Active since April 12, 2024
1911 N FINE AVE, FRESNO, CA 93727(559) 813-0461 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integra Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRA LLC (NPI 1144074527) is a healthcare organization registered as an intellectual and developmental disabilities in Fresno, California and active in the NPI registry since April 2024. The organization lists Mitchel Casados, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144074527
Entity TypeOrganization
Primary Taxonomy103TM1800X
Legal Business NameINTEGRA LLC
Location Address1911 N FINE AVEFresno, CA 93727-1510
Mailing Address1911 N Fine AveFresno, CA 93727-1510 · (559) 813-0461
Phone(559) 813-0461
Organization SubpartNo
Authorized OfficialMitchel CasadosCeo · (559) 813-0461
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1144074527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
1911 N FINE AVE, Fresno, CA 93727
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENDEAVOR BEHAVIORAL HEALTH GROUP
Clinic/Center (Mental Health (Including Community Mental Health Center))
1911 N FINE AVE
FRESNO, CA 93727
Fresno County (559) 458-0210
CALIFORNIA CONSORTIUM FOR PREVENTION AND INTERVENTION
Psychologist
1911 N FINE AVE
FRESNO, CA 93727
Fresno County (559) 813-0461
DAISY VANG
Social Worker (Clinical)
1911 N FINE AVE
FRESNO, CA 93727
Fresno County (559) 712-9110
CHOUA YANG ASW
Social Worker
1911 N FINE AVE
FRESNO, CA 93727
Fresno County (626) 741-7180
VANESSA JUDITH MARTINEZ
Student in an Organized Health Care Education/Training Program
1911 N FINE AVE
FRESNO, CA 93727
Fresno County (303) 435-9943

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integra LLC's NPI number?

The NPI number for Integra LLC is 1144074527. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Integra LLC located?

Integra LLC is located at 1911 N Fine Ave, Fresno, CA 93727. The listed phone number is (559) 813-0461.

What is Integra LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Integra LLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.