SAN INTEGRATIVE PSYCHIATRY PLLC
NPI 1770389736
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, CO
About San Integrative Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN INTEGRATIVE PSYCHIATRY PLLC (NPI 1770389736) is a healthcare organization registered as a psychiatric/mental health in Lakewood, Colorado and active in the NPI registry since February 2025. The organization lists Fasilat Olasumbo, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Integrative Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to San Integrative Psychiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 San Integrative Psychiatry PLLC's NPI number?
The NPI number for San Integrative Psychiatry PLLC is 1770389736. It was assigned to this organization in the NPPES registry on February 20, 2025.
Where is San Integrative Psychiatry PLLC located?
San Integrative Psychiatry PLLC is located at 1685 Eaton St, Lakewood, CO 80214. The listed phone number is (303) 304-5795.
What is San Integrative Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is San Integrative Psychiatry PLLC enrolled in Medicare?
Yes. San Integrative Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Integrative Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to San Integrative Psychiatry PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for San Integrative Psychiatry PLLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# San Integrative Psychiatry Pllc · NPI 1770389736
Psychiatric/Mental Health organization in Lakewood, Colorado. Organization record, active in the CMS NPPES registry since February 20, 2025.
## Identity
- **NPI:** 1770389736 (Entity type: Organization)
- **Enumerated:** February 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Fasilat Olasumbo, NURSE PRACTITIONER
## Practice location
- **Address:** 1685 EATON ST, Lakewood, CO 80214-1628
- **Phone:** (303) 304-5795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770389736) · Data from the CMS NPPES public registry.