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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAN INTEGRATIVE PSYCHIATRY PLLC
NPI 1770389736
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, CO

Active since February 20, 2025
1685 EATON ST, LAKEWOOD, CO 80214(303) 304-5795 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1770389736
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSAN INTEGRATIVE PSYCHIATRY PLLC
Location Address1685 EATON STLakewood, CO 80214-1628
Mailing Address1685 Eaton StLakewood, CO 80214-1628 · (303) 304-5795
Phone(303) 304-5795
Organization SubpartNo
Authorized OfficialFasilat OlasumboNurse Practitioner · (720) 309-3712
Enumeration DateFebruary 20, 2025
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1770389736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1685 EATON ST, Lakewood, CO 80214
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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 6

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

QL-CAMBRIDGE CARE CENTER, LLC
Skilled Nursing Facility
1685 EATON ST
LAKEWOOD, CO 80214
Jefferson County (303) 232-4405
QL-CAMBRIDGE CARE CENTER, LLC
Skilled Nursing Facility
1685 EATON ST
LAKEWOOD, CO 80214
Jefferson County (303) 232-4405
HEATHER RIEBOLDT OTR
Occupational Therapist
1685 EATON ST
LAKEWOOD, CO 80214
Jefferson County (303) 232-4405
CAMBRIDGE CARE CENTER LLC
Skilled Nursing Facility
1685 EATON ST
LAKEWOOD, CO 80214
Jefferson County (303) 232-4405
CAMBRIDGE CARE CENTER LLC
Skilled Nursing Facility
1685 EATON ST
LAKEWOOD, CO 80214
Jefferson County (303) 232-4405
ANNDREA BURGESS PTA
Physical Therapy Assistant
1685 EATON ST
LAKEWOOD, CO 80214
Jefferson County (303) 232-4405

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.

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 55 days 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.