INTEGRATIVE PSYCHIATRY A MEDICAL CORPORATION
NPI 1720268980
Psychiatry & Neurology - Psychiatry in Laguna Niguel, CA

Q: What is Integrative Psychiatry A Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since November 05, 2007

29982 IVY GLENN DR, #203, LAGUNA NIGUEL, CA 92677(949) 309-7903(949) 716-5243 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Integrative Psychiatry A Medical Corporation NPPES

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

INTEGRATIVE PSYCHIATRY A MEDICAL CORPORATION (NPI 1720268980) is a healthcare organization registered as a psychiatry in Laguna Niguel, California and active in the NPI registry since November 2007. The organization lists Grigor Grigoryan, Ceo/partner, as its authorized official.

NPPES Registry Identity

NPI1720268980

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameINTEGRATIVE PSYCHIATRY A MEDICAL CORPORATION

Location Address29982 IVY GLENN DR, #203Laguna Niguel, CA 92677

Mailing Address29982 Ivy Glenn Dr, #203Laguna Niguel, CA 92677 · (949) 309-7903 · Fax (949) 716-5243

Phone(949) 309-7903

Fax(949) 716-5243

Organization SubpartNo

Authorized OfficialGrigor GrigoryanCeo/partner · (949) 309-7903

Enumeration DateNovember 5, 2007

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1720268980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License A775921 (CA)

29982 IVY GLENN DR, Laguna Niguel, CA 92677

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Group Practice 2

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

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrative Psychiatry A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Integrative Psychiatry A Medical Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner6

Psychiatry4

Clinicians, nearest first (10)

Vinessa Gaerlan-Finch, PMHNP-BC

Nurse Practitioner

NPI 1275729329

29982 IVY GLENN DR STE 203
Laguna Niguel, CA 92677

(949) 309-7903

✔ PECOS✔ Accepts MedicareSame address

Samuel Grigoryan, NP

Nurse Practitioner

NPI 1881189892

29982 IVY GLENN DR STE 203
Laguna Niguel, CA 92677

(949) 309-7903

✔ PECOS✔ Accepts MedicareSame address

Angela Hernandez

Nurse Practitioner

NPI 1598410946

29982 IVY GLENN DR STE 203
Laguna Niguel, CA 92677

(949) 309-7903

✔ PECOS✔ Accepts MedicareSame address

Vitaliy Shaulov, M.D.

Psychiatry

NPI 1699705590

25411 CABOT RD SUITE 116
Laguna Hills, CA 92653

(949) 309-7903

✔ PECOS✔ Accepts Medicare5.0 mi

Jingyi Theis, MSN, PMHNP

Nurse Practitioner

NPI 1659660058

25411 CABOT RD. SUITE 206
Laguna Hills, CA 92653

(949) 309-7903

✔ PECOS✔ Accepts Medicare5.0 mi

Gilbert Simas, MD

Psychiatry

NPI 1497802383

6500 WILSHIRE BLVD FL 19
Los Angeles, CA 90048

(805) 764-9651

✔ PECOS✔ Accepts Medicare53 mi

Grigor Grigoryan, FNP-C

Nurse Practitioner

NPI 1205382231

7335 N 1ST ST 109
Fresno, CA 93720

(559) 449-1209

✔ PECOS✔ Accepts Medicare257 mi

Ronnie Cummings, M.D.

Psychiatry

NPI 1255537940

490 POST ST STE 1043
San Francisco, CA 94102

(925) 282-1778

✔ PECOS✔ Accepts Medicare395 mi

Camay Rooney, PMHNP-BC

Nurse Practitioner

NPI 1255820346

2103 NE 129TH ST STE 101
Vancouver, WA 98686

(360) 803-7056

✔ PECOS✔ Accepts Medicare881 mi

Anisa Suparmanian

Psychiatry

NPI 1275190514

111 N WASHINGTON AVE
Scranton, PA 18503

(570) 343-2383

✔ PECOS✔ Accepts Medicare2,350 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Integrative Psychiatry A Medical Corporation's NPI number?

The NPI number for Integrative Psychiatry A Medical Corporation is 1720268980. It was assigned to this organization in the NPPES registry on November 5, 2007.

Where is Integrative Psychiatry A Medical Corporation located?

Integrative Psychiatry A Medical Corporation is located at 29982 Ivy Glenn Dr #203, Laguna Niguel, CA 92677. The listed phone number is (949) 309-7903.

What is Integrative Psychiatry A Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Integrative Psychiatry A Medical Corporation enrolled in Medicare?

Yes. Integrative Psychiatry A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Psychiatry A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrative Psychiatry A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Psychiatry (4). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrative Psychiatry A Medical Corporation was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.