Integrated Psychological Services A Professional Corporation
NPI 1588639918ActiveOrganization· Psychologist, Group Psychotherapy· Laguna Niguel, CA
Psychologist, Group Psychotherapy in Laguna Niguel, California, registered in NPPES in February 2006. The authorized official on file is Maria M. Petrosino, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588639918 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2006 |
| Last updated in NPPES | Feb 9, 2023 |
| Certified by provider | Feb 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Group Psychotherapy Primary | 103TP2701X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|